Jessica M Grubb, OT

NPI #1154928547 in North Prairie, Wisconsin

Provider Information

NPI Number: 1154928547
Entity Type: Individual
Name: Jessica M Grubb, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Oct 8, 2020
Last Updated: Dec 8, 2021

Practice Location

Address: S59W31564 HEATHER DR
City: North Prairie
State: Wisconsin
ZIP Code: 53153-9447
Phone: (262) 470-9614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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