Individual
MRS. LAURA H BURKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1383 MARLA TER, BRADLEY, IL 60915-2052
(815) 935-2473
Mailing address
1383 MARLA TER, BRADLEY, IL 60915-2052
(815) 935-2473
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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