Individual
LAURA JO ANN DE FALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 BANKVIEW DR, FRANKFORT, IL 60423-1861
(815) 469-6676
(815) 469-1889
Mailing address
40 E JOLIET ST, SUITE A, SCHERERVILLE, IN 46375-2054
(219) 310-1032
(708) 887-5501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006307
IL
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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