Individual
LAURA R SYGULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-3729
Mailing address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2702
WI
Other
Enumeration date
11/01/2017
Last updated
01/27/2021
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