Individual
LAURA BETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13703 CICERO AVE, CRESTWOOD, IL 60445-1824
(708) 385-4416
Mailing address
13703 CICERO AVE, CRESTWOOD, IL 60445-1824
(708) 385-4416
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
227.009317
IL
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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