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1194007328
LAURA BENTRUP
KENOSHA, WI
NPI
1194007328
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Former Name
LAURA MULLIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 5079-26)
Enumeration Date
2011-09-14
Last Update Date
2015-07-28
Business Address
-- LAURA BENTRUP OTR
6300 67TH ST
KENOSHA, WI 53142-1437
Phone number: 262-652-5372
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Mailing Address
-- LAURA BENTRUP OTR
6300 67TH ST.
KENOSHA, WI 53142
Phone number: 262-484-4724
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