Individual
LARA DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 MEADOW PARK DR, CLINTON, WI 53525-9777
(608) 676-2202
Mailing address
709 MEADOW PARK DRIVE, CLINTON, WI 53525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5546
WI
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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