Individual
LAURA L. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
(608) 755-7892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6404-024
WI
2251X0800X
Orthopedic Physical Therapist
6404-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891862017
—
WI
05
—
36114300
—
WI
Enumeration date
11/30/2006
Last updated
04/17/2017
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