Individual
LAURIE ECKERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
620 E FIRST ST, GIBSON CITY, IL 60936-1003
(217) 784-4257
Mailing address
225 W CHESTNUT ST, PAXTON, IL 60957-1003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000476
IL
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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