Individual
GRACE CATHERINE PATNODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3701 80TH ST, KENOSHA, WI 53142-4950
(262) 697-1730
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13674
WI
225100000X
Physical Therapist
PT60656319
WA
Other
Enumeration date
08/04/2016
Last updated
12/07/2018
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