Individual
MRS. LAURA ANN KARLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
324 ROXBURY RD, ROCKFORD, IL 61107-5090
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 78534, MILWAUKEE, WI 53278-8534
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-006610
IL
225X00000X
Occupational Therapist
OT 005773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352033
ANTHEM BC/BS
OH
Enumeration date
07/22/2006
Last updated
03/26/2015
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