| NPI | 1851813083 |
|---|---|
| Former Name | LAURA REICHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT02999) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 25257) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-05-17 |