Jessica Groll

NPI #1114641693 in Lyman, Wyoming

Provider Information

NPI Number: 1114641693
Entity Type: Individual
Name: Jessica Groll
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 28, 2022
Last Updated: Sep 28, 2022

Practice Location

Address: 109 S MAIN ST STE D
City: Lyman
State: Wyoming
ZIP Code: 82937-5177
Phone: (307) 787-3278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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