Individual
LAURYN LYNN KOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27 AUERBACH PL, GLEN CARBON, IL 62034-1596
(618) 946-8909
Mailing address
1705 MITCHELL AVE, GRANITE CITY, IL 62040-2324
(618) 946-8909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009652
IL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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