Individual
LAURI NEIBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 SHERRY AVE, PARK FALLS, WI 54552-1467
(715) 762-7470
Mailing address
98 SHERRY AVE, PARK FALLS, WI 54552-1467
(715) 762-7470
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4693-27
WI
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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