Individual
MISS LAURA BETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
2334 N 69TH ST, WAUWATOSA, WI 53213-1312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1162-027
WI
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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