Individual
MELISSA LAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0417
Mailing address
4810 BARBICAN AVE, WESTON, WI 54476-4186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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