Doctor Name: | MRS. LAURA DEBOER |
NPI Number: | 1154438729 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 004720 |
Business Practice Address: | 64 Maple St Kent, CT - 067570034 |
Business Phone Number: | 8609274559 |
Business Fax Number: | 8609273352 |
Mailing Address: | Po Box 34, KENT |
State: | CT |
Postal Code: | 067570034 |
Phone Number: | 8609274559 |
Fax Number: | 8609273352 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |