LAURA LEE CHRISTINE GANSKE

APPLETON, WI
NPI1194029918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  4783-27)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.003319)
Enumeration Date2011-01-09
Last Update Date2015-12-11
Business Address
Ms. LAURA LEE CHRISTINE GANSKE C.O.T.A
2915 N MEADE ST
APPLETON, WI 54911-1509
Phone number: 920-993-6800
Mailing Address
Ms. LAURA LEE CHRISTINE GANSKE C.O.T.A
2915 N MEADE ST,
APPLETON, WI 54911
Phone number: 920-993-6800