Individual
ASHLEY MARIE GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2112
Mailing address
12031 N GRANVILLE RD, MEQUON, WI 53097-2511
(262) 573-8616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15071
WI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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