Doctor Name: | MARY JOANNE LAURIN |
NPI Number: | 1295701720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPT |
License Number: | 001290 |
Business Practice Address: | Blanchfield Army Community Hospital 650 Joel Dr. Fort Campbell, KY - 422235349 |
Business Phone Number: | 2707988372 |
Business Fax Number: | |
Mailing Address: | Blanchfield Army Community Hospital, 650 Joel Dr. FORT CAMPBELL |
State: | KY |
Postal Code: | 422235349 |
Phone Number: | 2707988372 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 001290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |