NPI 1760329502

Laiken Addie Immormino

Practitioner Occupational Therapy Assistant Marshfield, WI

Practice location

Address: 814 W 14th St, Marshfield, WI 54449-4030
Phone: (715) 387-1188
Mailing address: N14865 Evergreen Ave, Thorp, WI 54771-7521

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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Registry record

NPI: 1760329502
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2026
Record last updated: 30 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.