Most Relevant Information
Provider Data
| NPI Number: | 1003080706 |
| Provider Name: | LAURA HINTZ OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2187-026 |
Most Important Dates
| Enumeration Date: | 04/15/2008 |
| Last Updated: | 04/15/2008 |
Provider Practice Location
1650 TRI PARK WAY
SUITE A
APPLETON
WI
549141601
Practice Location Phone/Fax
| Phone: | 9208306697 |
| Fax: | 9208306707 |
Provider Mailing Location
1650 TRI PARK WAY
SUITE A
APPLETON
WI
549141601
Provider Mailing Phone/Fax
| Phone: | 9208306697 |
| Fax: | 9208306707 |