Individual
LAURA A BALCERAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
W156S7464 MARTIN CT, MUSKEGO, WI 53150-8395
(414) 531-3598
Mailing address
W156S7464 MARTIN CT, MUSKEGO, WI 53150-8395
(414) 531-3598
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
651-27
WI
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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