Individual
REBECCA LAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 282-1300
Mailing address
1334 N 60TH ST, MILWAUKEE, WI 53208-2148
(414) 531-3997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
251619
WI
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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