Individual
BECKY GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-0850
(262) 653-0853
Mailing address
14460 W HONEY LN, NEW BERLIN, WI 53151-2314
(262) 653-0850
(262) 653-0853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3032-024
WI
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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