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Organization
OT LAURA LLC
Active
Organization
OT LAURA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA OBRIEN OTR/L (OCCUPATIONAL THERAPIST)
(708) 724-8780
Entity
Organization
Contact information
Practice address
36 MAIN ST, PARK RIDGE, IL 60068-4059
(847) 692-6692
Mailing address
799 GRACELAND AVE UNIT 508, DES PLAINES, IL 60016-8623
(708) 724-8780
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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