Individual
LAURA GROTELUSCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9401 ANDERMATT DR, LINCOLN, NE 68526-9507
(402) 476-3274
Mailing address
825 COLUMBINE CIR, HICKMAN, NE 68372-9839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1022
NE
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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