| NPI | 1538142344 |
|---|---|
| Former Name | LAURA L KOLAKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 05114) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009847) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2019-03-20 |