Laura Lise Kolak

NPI #1669690798 in Escanaba, Michigan

Provider Information

NPI Number: 1669690798
Entity Type: Individual
Name: Laura Lise Kolak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2900 3RD AVE S
City: Escanaba
State: Michigan
ZIP Code: 49829-1237
Phone: (906) 786-5810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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