BRAY GRUNDY

KENOSHA, WI
NPI1700201019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  1255724)
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
-- BRAY GRUNDY DPT
3415 SHERIDAN RD
KENOSHA, WI 53140-1924
Phone number: 262-657-6175
Mailing Address
-- BRAY GRUNDY DPT
12709 W WAKEFIELD DR
BEACH PARK, IL 60083-3021
Phone number: