Individual
LESLIE GROMMERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1400 MADISON AVE STE 100A, MANKATO, MN 56001-5260
(507) 594-2452
Mailing address
1400 MADISON AVE, MANKATO, MN 56001-5473
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10047
MN
Other
Enumeration date
03/31/2016
Last updated
01/13/2021
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