Individual
LAURA ANN RICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 N HIGHLAND AVE, PROVENA MERCY MEDICAL CENTER, AURORA, IL 60506-1449
(630) 801-2178
Mailing address
1325 N HIGHLAND AVE, PROVENA MERCY MEDICAL CENTER, AURORA, IL 60506-1449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003790
IL
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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