Individual
KAELA LAURITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
807 W JEFFERSON ST UNIT V, SHOREWOOD, IL 60404-7301
(815) 714-2977
Mailing address
1111 WINTHROP AVE, JOLIET, IL 60435-3415
(815) 302-1949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015952
IL
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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