MEDICARE: LAURIE E. DREW DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT016464	OH
2	225100000X	Physical Therapist	5610	MS

General Provider Information

NPI Number	:	1245619527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE E. DREW DPT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 JEFFERSON DAVIS DR
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-5221
Country	:	US
Telephone Number	:	662-238-2800
Fax Number	:	662-238-2808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	03/05/2026

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Directions to “ LAURIE E. DREW DPT” Practice Location

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