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Individual

LARA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
77 NORTH AIRLITE STREET, ELGIN, IL 60123
(847) 695-5904
(847) 695-5985
Mailing address
77 NORTH AIRLITE STREET, ELGIN, IL 60123

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070012297
IL
2251N0400X
Neurology Physical Therapist
Primary
070012297
IL

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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