Individual
JENNA GROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17700 W CAPITOL DR STOP 6, BROOKFIELD, WI 53045
(262) 781-3083
(262) 781-3080
Mailing address
17700 W CAPITOL DR STOP 6, BROOKFIELD, WI 53045-2080
(262) 781-3083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13396-24
WI
Other
Enumeration date
09/08/2016
Last updated
05/23/2018
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