| NPI | 1881705739 |
|---|---|
| Former Name | LAURA A. LENNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P13554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007802) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-11-26 |