Individual
MRS. LAURIE ANN KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9977 WOODS DR, SKOKIE, IL 60077-1057
(847) 663-8126
Mailing address
9353 OKETO AVE, MORTON GROVE, IL 60053-1123
(773) 807-9526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001549
IL
Other
Enumeration date
04/07/2010
Last updated
05/03/2010
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