Organization
THE GROVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE LEISITIKOW M.S. CCC-SLP (OWNER)
(608) 577-3814
Entity
Organization
Contact information
Practice address
733 TERRACE RIDGE DR, COTTAGE GROVE, WI 53527-9676
(608) 577-3814
Mailing address
733 TERRACE RIDGE DR, COTTAGE GROVE, WI 53527-9676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
09/06/2023
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