Individual
LAURA NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2990 CAHILL MAIN, SUITE 204, FITCHBURG, WI 53711-7130
(608) 204-6083
Mailing address
2990 CAHILL MAIN, SUITE 204, FITCHBURG, WI 53711-7130
(608) 204-6083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5027-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5027-26
WISCONSIN DEPARTMENT OF REGULATION AND LICENSING
WI
Enumeration date
04/19/2011
Last updated
04/19/2011
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