Organization
WONDERLAND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KISH MS, OTR/L (OCCUPATIONAL THERAPIST)
(608) 780-1196
Entity
Organization
Contact information
Practice address
1800 JACKSON ST STE H, LA CROSSE, WI 54601-5800
(608) 571-5417
Mailing address
2116 WINNEBAGO ST, LA CROSSE, WI 54601-5060
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
03/12/2024
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