Individual
LAUREN GALICIA MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 942-5600
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7335
WI
Other
Enumeration date
06/13/2023
Last updated
07/13/2023
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