Individual
ALEXANDRA ELIZABETH LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 E 2900 NORTH RD, BEAVERVILLE, IL 60912-7051
(815) 216-8742
Mailing address
2803 E 2900 NORTH RD, BEAVERVILLE, IL 60912-7051
(815) 216-8742
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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