Individual
LAURA RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-2111
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4892-26
WI
Other
Enumeration date
07/26/2010
Last updated
05/10/2021
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