| NPI | 1457736423 |
|---|---|
| Former Name | LAURA LEONA WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0013744) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 078667) |
| 225100000X Physical Therapist (Licence: KS 11-05157) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2021-08-18 |