Individual provider · Type 1 NPI

Brenda Mae Grissom, OTR

Occupational Therapist · Sheboygan, WI

NPI number 1780985648 Active

Practice location

3014 Erie Ave
Sheboygan, WI 53081-3658

Call (920) 459-3028 Map

Fax (920) 459-4341

Mailing address

5764 County Road Q
Colgate, WI 53017-9717

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4870-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1780985648

Brenda Mae Grissom, OTR's National Provider Identifier is 1780985648, issued on Nov 9, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Sheboygan, WI. The record was last updated on Oct 31, 2022.