| NPI | 1417183120 |
|---|---|
| Other Name | LAURA JEAN BOOKWALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WI 2719-019) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 999-039) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2014-07-31 |