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Individual

LAURA J. VISANKO

Active
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Individual

LAURA J. VISANKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
731
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79400507
NM
01
NM00Q038
BLUE CROSS BLUE SHIELD
NM
01
PROVP16915
MOLINA HEALTH PLAN
NM
Enumeration date
07/30/2006
Last updated
03/08/2017
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