Individual
MISS WHITNEY MARIE GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Mailing address
67 RATERMANN RD, SILEX, MO 63377-2910
(636) 262-7930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018029405
MO
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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