| NPI | 1700117769 |
|---|---|
| Former Name | RAYANNA MARIE LAUXDPT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 13968) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT36330) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2021-12-27 |