Individual
LAURA JEANNE REED BLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6303 WESTGATE RD, MONONA, WI 53716-3927
(608) 219-5589
Mailing address
6303 WESTGATE RD, MONONA, WI 53716-3927
(608) 219-5589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1786-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050530
NBCOT
WI
01
—
1786-27
STATE OF WISCONSIN
WI
Enumeration date
12/29/2022
Last updated
12/29/2022
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