| NPI | 1992950653 |
|---|---|
| Former Name | LAURA ELIZABETH MACKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004677) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: KY 004677) |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2020-12-07 |