Individual
LAURA ANN HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTRL
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
056007456
IL
225X00000X
Occupational Therapist
Primary
056007456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00451772
RAILROAD MEDICARE
IL
Enumeration date
06/14/2006
Last updated
05/27/2008
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