BRENDA MAE GRISSOM

SHEBOYGAN, WI
NPI1780985648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4870-026)
Enumeration Date2010-11-09
Last Update Date2022-10-31
Business Address
Ms. BRENDA MAE GRISSOM OTR
3014 ERIE AVE
SHEBOYGAN, WI 53081-3658
Phone number: 920-459-3028
Mailing Address
Ms. BRENDA MAE GRISSOM OTR
5764 COUNTY ROAD Q
COLGATE, WI 53017-9717
Phone number: 262-573-6130