| NPI | 1932473873 |
|---|---|
| Former Name | LAURA BETH CLUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT 021597) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT012831) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |