Colin R Grove
Occupational Therapist - Neurorehabilitation
6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430
Middleton
, Wisconsin 53562-3036
Colin R Grove
Occupational Therapist - Neurorehabilitation
6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430
Middleton
, Wisconsin 53562-3036
(608) 263-8412
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Colin R Grove
- 6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430
- Middleton, WI
- Zip : 53562-3036
- Phone : (608) 263-8412
Second Address
- Colin R Grove
- 6630 University Ave Rehabilitation Clinic - Middleton Mail Code 9430
- Middleton, WI
- Zip : 53562-3036
- Phone : (608) 263-8412
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In what state does Colin R Grove practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4776-24 | WI |
National Provider Identifier
| NPI | 1508870189 |
|---|---|
| Provider Name | Colin R Grove |
| First Address | Middleton, WI 53562-3036 |
| Second Address | Middleton, WI 53562-3036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4776-24 | PT NEURO REHAB (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.