Individual
MS. PATRICIA CONLON GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-6319
Mailing address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-6319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4150-026
WI
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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