KELLY GRISETA

OSHKOSH, WI
NPI1790974947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4288-026)
Enumeration Date2007-10-23
Last Update Date2007-10-23
Business Address
-- KELLY GRISETA
500 S OAKWOOD RD
OSHKOSH, WI 54904-7944
Phone number: 920-223-0424
Mailing Address
-- KELLY GRISETA
1570 MIDWAY PL
MENASHA, WI 54952-1165
Phone number: 920-720-1464