Individual
LAURALYN BETH SUTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
(920) 433-3651
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
(920) 433-3651
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1429-19
WI
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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