Individual
LARA HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
701 SHADWELL AVE, FLORA, IL 62839-2310
(618) 662-8361
Mailing address
575 MALLARD LN, MASON, IL 62443-3612
(812) 430-8979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014520
IL
Other
Enumeration date
09/23/2021
Last updated
10/14/2021
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