Individual
ASHA GRISBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
(414) 615-0667
Mailing address
11052 W MAPLE LN, WAUWATOSA, WI 53225-4428
(414) 615-0665
(414) 615-0667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4538-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346664380
—
WI
Enumeration date
02/11/2014
Last updated
08/29/2014
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