Individual
LAURIE A BREEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4297
Mailing address
6709 PIKE BEND RD, WEBSTER, WI 54893-8610
(715) 866-8356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
623-19
WI
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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