| Doctor Name: | LAURA ELIZABETH FENNO |
| NPI Number: | 1003219122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 2305208878 |
| Business Practice Address: | 3615 W Main St Salem, VA - 241531961 |
| Business Phone Number: | 5403802986 |
| Business Fax Number: | |
| Mailing Address: | 5360 Orchard Hill Dr Apt 5445-3f, ROANOKE |
| State: | VA |
| Postal Code: | 240196080 |
| Phone Number: | 7575602895 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2014 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305208878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |