| NPI | 1366054967 |
|---|---|
| Former Name | LAURA M SEADLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-07307) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2023016500) |
| 225100000X Physical Therapist (Licence: NV 4354) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-05-12 |