Individual
MR. BRANDON GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 685-2755
Mailing address
115 E WASHINGTON ST APT 305, APPLETON, WI 54911-5442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9065-26
WI
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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