Individual
MS. LAURA A CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1610 N COUNTYLINE ST, FOSTORIA, OH 44830-1938
(419) 436-9764
(419) 436-9782
Mailing address
5980 E STATE ROUTE 18, REPUBLIC, OH 44867-9309
(419) 447-7203
(419) 447-5577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05490
OH
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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