Individual
MRS. LAURA KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
505 W FOURTH ST, MILFORD, IN 46542-9310
(574) 658-9455
Mailing address
404 YORKTOWN DR, GOSHEN, IN 46526-1446
(574) 971-8513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004047A
IN
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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