| NPI | 1356791198 |
|---|---|
| Former Name | LAURA ELIZABETH QUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 11078) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0014020) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2017-03-18 |