Betty Groenewold, P.T.

NPI #1396784831 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1396784831
Entity Type: Individual
Name: Betty Groenewold, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1223 MADISON ST
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-2629
Phone: (920) 885-4750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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