LAURA BENTRUP

KENOSHA, WI
NPI1194007328
Former NameLAURA MULLIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  5079-26)
Enumeration Date2011-09-14
Last Update Date2015-07-28
Business Address
-- LAURA BENTRUP OTR
6300 67TH ST
KENOSHA, WI 53142-1437
Phone number: 262-652-5372
Mailing Address
-- LAURA BENTRUP OTR
6300 67TH ST.
KENOSHA, WI 53142
Phone number: 262-484-4724