Individual
LAURA LETICIA CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 565-3172
Mailing address
493 KIOWA TRL, WHEELING, IL 60090-5128
(224) 305-2485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012340
IL
Other
Enumeration date
02/21/2018
Last updated
03/17/2018
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