| NPI | 1316209802 |
|---|---|
| Former Name | LAURA MARIE HEBDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070019156) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2021-11-17 |