Individual
MRS. LAURIE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.,
Contact information
Practice address
312 E CHERRY COVE LN, ROUND LAKE BEACH, IL 60073-4805
(847) 445-8615
Mailing address
312 E CHERRY COVE LN, ROUND LAKE BEACH, IL 60073-4805
(847) 445-8615
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227011150
IL
225700000X
Massage Therapist
5079146
WI
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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