NATALIE GRANDAHL

BROOKFIELD, WI
NPI1831842087
Former NameNATALIE BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  5751)
Enumeration Date2022-01-28
Last Update Date2022-01-28
Business Address
NATALIE GRANDAHL MOT
17700 W CAPITOL DR
BROOKFIELD, WI 53045-2006
Phone number: 262-781-3083
Mailing Address
NATALIE GRANDAHL MOT
17700 W CAPITOL DR # 6
BROOKFIELD, WI 53045-2006
Phone number: 262-781-3083