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Individual

MRS. LAURA BETH HILDEBRANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
471 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3434
(815) 455-0550
Mailing address
471 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3434
(815) 455-0550

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
IL

Other

Enumeration date
10/10/2007
Last updated
10/10/2007
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