Individual
DOREEN M GROSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, B.S., A.S.
Contact information
Practice address
2620 WAUNONA WAY, MADISON, WI 53713-1525
(608) 212-1202
Mailing address
1078 NANTUCKET DR, JANESVILLE, WI 53546-1762
(608) 756-2972
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1925-19
WI
Other
Enumeration date
03/22/2014
Last updated
04/29/2014
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