Individual
DANIELLE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
3021 S 6TH ST, MILWAUKEE, WI 53215-3928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9603-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40379900
—
WI
Enumeration date
11/13/2007
Last updated
04/15/2014
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