MRS. Lisa Ann Gross, COTA

NPI #1467721597 in Plymouth, Wisconsin

Provider Information

NPI Number
1467721597
Entity Type
Individual
Name
MRS. Lisa Ann Gross, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Dec 19, 2011
Last Updated
Dec 19, 2011

Practice Location

Address
N7135 ROCKY KNOLL PKWY
ZIP Code
53073-3103
Phone
(920) 893-6441

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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