Individual
LAURA L BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1922 COUNTY ROAD NN, ELKHORN, WI 53121
(262) 741-3600
Mailing address
721 RIDGE CIR, TWIN LAKES, WI 53181-9345
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
730-019
WI
225200000X
Physical Therapy Assistant
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40453200
—
WI
Enumeration date
04/10/2007
Last updated
07/09/2007
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