Individual ProviderLaurie Ann SalvacionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421(217) 546-3301PECOS EnrollmentBased on the most recent information from CMS, provider Laurie Ann Salvacion does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1386923043Provider TypeIndividualFull NameSalvacion, Laurie AnnTitleMrs.CredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date8/12/2011Last Updated8/12/2011Contact InformationPractice LocationPractice Address2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421Phone(217) 546-3301Fax(217) 546-3302Mailing LocationMailing Address2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421Phone(217) 546-3301Fax(217) 546-3302Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070018091Illinois