Individual
LAURA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10590 N PORT WASHINGTON RD, MEQUON, WI 53092-5537
(262) 375-1075
Mailing address
2020 CHEYENNE CT, GRAFTON, WI 53024-9368
(262) 375-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12109-24
WI
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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