Individual
LAURA GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 WILLOW RD, TWIN LAKES, WI 53181-9209
(262) 877-9219
Mailing address
1718 WILLOW RD, TWIN LAKES, WI 53181-9209
(262) 877-9219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-002326
IL
Other
Enumeration date
08/06/2014
Last updated
06/25/2015
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