Individual
MRS. MYRNA I LAUREANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5TH AVE AND ROOSEVELT ROAD, PHYSICAL THERAPY DEPARTMENT 117G, HINES, IL 60641
(708) 202-8387
Mailing address
5TH AND ROOSEVELT ROAD, PHYSICAL THERAPY DEPARTMENT 117G, HINES, IL 60641
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00124
PR
Other
Enumeration date
06/10/2006
Last updated
07/08/2007
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