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1841307246
CARL D GROTA
STURGEON BAY, WI
NPI
1841307246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 5783-24)
Enumeration Date
2006-08-23
Last Update Date
2024-08-01
Business Address
CARL D GROTA PT
1300 EGG HARBOR RD STE 152
STURGEON BAY, WI 54235-1248
Phone number: 920-746-0410
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Mailing Address
CARL D GROTA PT
323 S 18TH AVE
STURGEON BAY, WI 54235-1401
Phone number: 920-743-5566
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