| NPI | 1588809354 |
|---|---|
| Former Name | LAURA KAZNECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501013212) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9999) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2018-05-07 |