Individual
LAUREN ELIZABETH KOELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8060
(608) 262-7679
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-2424
(608) 263-8060
(608) 262-7679
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6527-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9081793128
—
WI
Enumeration date
05/31/2019
Last updated
05/31/2019
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