Individual
LAURA L SICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3305 S 20TH ST, MILWAUKEE, WI 53215-4940
(414) 645-1808
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 645-1808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15053
WI
225100000X
Physical Therapist
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103538
—
WI
Enumeration date
09/03/2020
Last updated
07/24/2023
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