| NPI | 1326146747 |
|---|---|
| Former Name | LAURA CYNTHIA PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070004978) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-08-13 |