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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LAURA JEAN WAALKENS, LAT, PTA

Active Sole Proprietor

MRS. LAURA JEAN WAALKENS, LAT, PTA is a Occupational Therapist healthcare provider located in TWO RIVERS, Wisconsin. NPI 1417183120 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · TWO RIVERS, WI

Registration Details

NPI Number
1417183120
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2009 (17.000994413608 yrs)
Last Updated
Jul 31, 2014
Licenses
2719-019 (WI)
999-039 (WI)
Sole Proprietor
Yes

Practice Information

Address
5000 MEMORIAL DRIVE
TWO RIVERS, WI, 542417316
Browse WI providers · Browse ZIP 54241
Phone
9207945381
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Athletic Trainer

Other Occupational Therapist Providers in TWO RIVERS, WI

Name Credential NPI
MS. SARAH ANN DETTWILER LAT, PTA 1215095476
JACLYN KARBON PTA 1720123938
JOY LYNN PRESTON PTA 1710013768
ANN MARY VANDENHOUTEN PTA 1467580639
AMANDA DENOR PTA 1538463146
KAYCEE CAROBINE 1023567930
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.