# WONDERLAND THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437757986
- **Authorized official:** LAURA KISH MS, OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (608) 780-1196

## Contact information

- **Practice address:** 1800 JACKSON ST STE H, LA CROSSE, WI 54601-5800
- **Practice address phone:** (608) 571-5417
- **Mailing address:** 2116 WINNEBAGO ST, LA CROSSE, WI 54601-5060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2020
- **Last updated:** 03/12/2024
