Individual
LAURA WILKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1339 OAK ST, NILES, MI 49120-3627
(574) 993-0431
Mailing address
1339 OAK ST, NILES, MI 49120-3627
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001359A
IN
224Z00000X
Occupational Therapy Assistant
5202007048
MI
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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