Individual
MRS. LAURA ANN MANNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
110 BELMONT RD, MADISON, WI 53714-3129
(608) 249-7391
Mailing address
114 S WHITNEY WAY, MADISON, WI 53705-4604
(608) 236-4850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2741-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40886400
—
WI
Enumeration date
04/09/2007
Last updated
07/08/2007
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