SAMANTHA JO GRONSETH

ASHLAND, WI
NPI1073820916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1667-019)
Enumeration Date2010-09-13
Last Update Date2010-09-13
Business Address
-- SAMANTHA JO GRONSETH PTA
911 3RD ST W
ASHLAND, WI 54806-1311
Phone number: 715-682-8172
Mailing Address
-- SAMANTHA JO GRONSETH PTA
911 3RD ST W
ASHLAND, WI 54806-1311
Phone number: 715-682-8172
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