Individual
BETH LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5455-26
WI
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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