Individual
CERASELA LAURA CAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(414) 277-8846
(414) 276-2332
Mailing address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(414) 277-8846
(414) 276-2332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1748-019
WI
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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