Individual
MRS. KARRIE LOUISE GROOTHOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1001 E 11TH ST N, LADYSMITH, WI 54848-1455
(715) 532-5546
(715) 532-5547
Mailing address
1001 E 11TH ST N, LADYSMITH, WI 54848-1455
(715) 532-5546
(715) 532-5547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2061-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41056800
—
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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