Individual
MRS. LAURIE J. SPANBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
440 WELLS ST, SUITE 200, DELAFIELD, WI 53018-1409
(715) 389-6468
Mailing address
877 S PARK AVE, MEDFORD, WI 54451-2104
(715) 748-5259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
685019
WI
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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