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Individual

LEAH JANE GRINVALSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
Mailing address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15190-24
WI

Other

Enumeration date
09/10/2020
Last updated
09/10/2020
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