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Individual

LAURA VAN SCHYNDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1600 OHIO ST, RACINE, WI 53405-3157
(262) 995-7291
(262) 995-7292
Mailing address
PO BOX 367, ROCHESTER, WI 53167-0367
(262) 995-7291

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
5508-26
WI
225XP0200X
Pediatric Occupational Therapist
OTR2415
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186296721
AR
Enumeration date
05/27/2011
Last updated
02/19/2016
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