Doctor Name: | LAURA MARIE CUMMINGS |
NPI Number: | 1194827774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 711060 |
Business Practice Address: | 5454 E 12 Mile Rd Warren, MI - 480924636 |
Business Phone Number: | 5865583600 |
Business Fax Number: | 5865583604 |
Mailing Address: | 5454 E 12 Mile Rd, WARREN |
State: | MI |
Postal Code: | 480924636 |
Phone Number: | 5865583600 |
Fax Number: | 5865583604 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 711060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |