Laurie A Breeden

NPI #1255636890 in Frederic, Wisconsin

Provider Information

NPI Number: 1255636890
Entity Type: Individual
Name: Laurie A Breeden
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 12, 2011
Last Updated: Jan 12, 2011

Practice Location

Address: 205 UNITED WAY
City: Frederic
State: Wisconsin
ZIP Code: 54837-8938
Phone: (715) 327-4297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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