LARA A BLECK

APPLETON, WI
NPI1114002623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  6128024)
Enumeration Date2006-10-25
Last Update Date2008-07-18
Business Address
-- LARA A BLECK PT
2105 E ENTERPRISE AVE
APPLETON, WI 54913-7862
Phone number: 920-991-2561
Mailing Address
-- LARA A BLECK PT
2105 E ENTERPRISE AVE
APPLETON, WI 54913-7862
Phone number: 920-991-2561
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