Individual
PEARL AMANDA LASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 N MARION ST STE 10, OAK PARK, IL 60301-1503
(630) 926-1778
Mailing address
115 N MARION ST STE 8, OAK PARK, IL 60301-1503
(630) 926-1778
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001669
IL
225700000X
Massage Therapist
227021255
IL
Other
Enumeration date
08/26/2022
Last updated
11/18/2024
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