Organization
EARLEY PEDIATRIC THERAPY, LLC
Active
Organization
EARLEY PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE C EARLEY P.T. (PHYSICAL THERAPIST)
(847) 204-9960
Entity
Organization
Contact information
Practice address
912 S DYMOND RD, LIBERTYVILLE, IL 60048-3532
(847) 204-9960
(847) 816-7559
Mailing address
912 S DYMOND RD, LIBERTYVILLE, IL 60048-3532
(847) 204-9960
(847) 816-7559
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070-008568
IL
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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