OrganizationActive
Earley Pediatric Therapy, LLC
NPI 1487820205 · Pediatric Physical Therapist · Libertyville, IL
Provider details
- NPI number
- 1487820205
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Laurie Earley, Physical Therapist(847) 204-9960
- License
- 070-008568 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
912 S Dymond Rd
Libertyville, IL 60048-3532
Phone: (847) 204-9960
Fax: (847) 816-7559
Approximate (ZIP-level) locationGet directions
Mailing address
912 S Dymond Rd
Libertyville, IL 60048-3532
Registry dates
- Enumerated
- 2008-05-01
- Last updated
- 2008-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.