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Individual

JILLIAN LAURENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS, 600 HIGHLAND AVENUE, MAIL STOP 2424, MADISON, WI 53792-2424
(608) 263-8060
(608) 262-7679
Mailing address
2014 KENDALL AVE, APT #1, MADISON, WI 53726-3914
(920) 242-6958

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5667-26
WI

Other

Enumeration date
03/25/2015
Last updated
03/25/2015
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