Individual
MRS. LAURA BETH KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 961-4996
Mailing address
2563 S 66TH ST, MILWAUKEE, WI 53219-2634
(414) 213-1547
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1748027
WI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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