Individual
DANIELLE LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
730 W 45TH STREET, MUNSTER, IN 46321
(219) 922-3016
Mailing address
18714 FOREST VIEW LN, LANSING, IL 60438-4510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06003354A
IN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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