| NPI | 1245619527 |
|---|---|
| Former Name | LAURIE ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MS 5610) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT016464) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2026-03-05 |