Individual
LAUREL RANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S BELT W, BELLEVILLE, IL 62220-2503
(618) 234-4741
Mailing address
101 S BELT W, BELLEVILLE, IL 62220-2503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010533
IL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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