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Individual

PAULINE LAUBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1717 W NORTHERN AVE, PHOENIX, AZ 85021-5469
(602) 535-8255
Mailing address
13531 W FARGO DR, SURPRISE, AZ 85374-5374
(601) 686-2217

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
6137
AZ

Other

Enumeration date
01/10/2017
Last updated
01/10/2017
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