Individual
LAURI JEAN WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 236-1850
Mailing address
2700 W 9TH AVE, OSHKOSH, WI 54904-7247
(920) 236-1850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
415-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40300100
—
WI
Enumeration date
04/06/2007
Last updated
07/08/2007
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