Individual
LAURA LEE RIECK LABONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1415 LINCOLNWAY W STE M, OSCEOLA, IN 46561-2061
(574) 675-7767
(574) 675-9344
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001089A
IN
Other
Enumeration date
12/30/2009
Last updated
06/25/2024
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