Individual
BRADEN PERCIVAL LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2130 CONTINENTAL DR, WEST BEND, WI 53095-7904
(877) 407-3422
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17710-24
WI
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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