Individual
LAURA JEAN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2874
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11689-24
WI
Other
Enumeration date
08/16/2011
Last updated
02/24/2020
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