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Individual

MRS. LAURA ANN SISTO THIBEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT OTRL

Contact information

Practice address
1990 E ALGONQUIN RD, SUITE 200, SCHAUMBURG, IL 60173-4173
(847) 303-5790
(847) 303-5795
Mailing address
2000 E ALGONQUIN RD, SUITE 109, SCHAUMBURG, IL 60173-4189
(847) 303-5790
(847) 303-5795

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056006803
IL
225XH1200X
Hand Occupational Therapist
Primary
056-006803
IL

Other

Enumeration date
02/27/2007
Last updated
07/27/2015
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