Individual
MRS. LAUREN GRISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5575 BURKE RD, MADISON, WI 53718-6301
(608) 819-8008
Mailing address
5575 BURKE RD, MADISON, WI 53718
(608) 819-8008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5411-26
WI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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