Individual
LAURA BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1710 JESSICA CT, PEKIN, IL 61554-9227
(309) 284-0707
Mailing address
1710 JESSICA CT, PEKIN, IL 61554-9227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227003888
IL
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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