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Individual
LAURA A SHIMKUS
Active
Individual
LAURA A SHIMKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070017597
PHYSICAL THERAPY LICENSE NUMBER
IL
Enumeration date
01/28/2010
Last updated
03/01/2022
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