Individual
CAROL ANN GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5558
Mailing address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201311
MN
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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