Individual
LAURE EVCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6520 W LAYTON AVE, GREENFIELD, WI 53220-4523
(414) 282-9590
(414) 282-9348
Mailing address
3965 S KINGAN AVE, MILWAUKEE, WI 53235-4768
(414) 481-6826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
84-019
WI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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