Individual
DANIELLE GRESHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
107 E BECKERT RD, NEW LONDON, WI 54961-2509
(920) 982-5354
Mailing address
107 E BECKERT RD, NEW LONDON, WI 54961-2509
(920) 982-5354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5621
WI
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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