KIRSTEN GROTHAUS

PEORIA, IL
NPI1730630054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070022453)
Enumeration Date2016-10-21
Last Update Date2016-10-21
Business Address
-- KIRSTEN GROTHAUS DPT
2338 W VAN WINKLE WAY
PEORIA, IL 61615-7483
Phone number: 309-693-9189
Mailing Address
-- KIRSTEN GROTHAUS DPT
112 NE MADISON AVE
PEORIA, IL 61602-1109
Phone number: 309-674-7874
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