Doctor Name: | LAURA PORCH |
NPI Number: | 1275698177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPISTY |
License Number: | PT 2928 |
Business Practice Address: | 212 S 3rd St Rogers, AR - 727564547 |
Business Phone Number: | 1479631351 |
Business Fax Number: | |
Mailing Address: | 1400 Ne Dysart Woods Ln, BENTONVILLE |
State: | AR |
Postal Code: | 727128591 |
Phone Number: | 4795318329 |
Fax Number: | 1479715687 |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 08/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 2928 |
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 |