| NPI | 1629602644 |
|---|---|
| Former Name | LAURA ELIZABETH HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA CP027443T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19352) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2024-01-27 |