| NPI | 1588112197 |
|---|---|
| Former Name | LAURA C HOVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 62373) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60660142) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-12-14 |