Individual
TAMI GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-3236
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
811019
WI
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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