Lara Damico

NPI #1518369255 in Clinton, Wisconsin

Provider Information

NPI Number: 1518369255
Entity Type: Individual
Name: Lara Damico
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 709 MEADOW PARK DR
City: Clinton
State: Wisconsin
ZIP Code: 53525-9777
Phone: (608) 676-2202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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