Individual
LAURA NOELLE SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15465 W HOWARD AVE, NEW BERLIN, WI 53151-5273
(262) 786-4422
Mailing address
22826 S ANNA DR, CHANNAHON, IL 60410-3237
(815) 931-9751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15324-24
WI
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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