Doctor Name: | VALERIE ANN LAISURE |
NPI Number: | 1265575435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT2955 |
Business Practice Address: | 25255 Highway 5 Suitee N Lonsdale, AR - 720879519 |
Business Phone Number: | 5019229911 |
Business Fax Number: | 5019229930 |
Mailing Address: | 3519 Longmeadow Dr, BRYANT |
State: | AR |
Postal Code: | 720229334 |
Phone Number: | 8702196030 |
Fax Number: | 5017607442 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 06/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |