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Individual

DEANNA MARIE LAPHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(414) 329-2500
(414) 329-2501
Mailing address
12284 COUNTY 17, CALEDONIA, MN 55921-4720
(507) 459-5443

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2305-19
WI
225200000X
Physical Therapy Assistant
A2011
MN

Other

Enumeration date
12/26/2017
Last updated
12/26/2017
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