| NPI | 1164480398 |
|---|---|
| Former Name | LAURA GRAYBASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT027102) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT001901A) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-08-14 |