| NPI | 1013313535 |
|---|---|
| Former Name | LAURA ANN BOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9855) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ND 1817) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2021-10-22 |