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Organization
LAJOYE PEDIATRIC THERAPY, LLC
Active
Organization
LAJOYE PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LAJOYE MPT (SOLE MEMBER)
(618) 514-9610
Entity
Organization
Contact information
Practice address
905 CHICKASAW CT, MASCOUTAH, IL 62258-1637
(618) 514-9610
(618) 448-0241
Mailing address
905 CHICKASAW CT, MASCOUTAH, IL 62258-1637
(618) 514-9610
(618) 448-0241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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