| NPI | 1649559444 |
|---|---|
| Former Name | LAURA DEIGHTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0011862) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY 1373) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2017-12-20 |