Individual
LAURA GUETZKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3249
Mailing address
607 LAUREL HEIGHTS DR, DELAVAN, WI 53115-1319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2075-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40070800
—
WI
Enumeration date
03/29/2007
Last updated
07/08/2007
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