Doctor Name: | LAURA PRUETT MARANO |
NPI Number: | 1396086047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | PT010414 |
Business Practice Address: | 5001 Statesman Dr Irving, TX - 750632414 |
Business Phone Number: | 8007882815 |
Business Fax Number: | |
Mailing Address: | 61 Bass Dr, Apt 204 STAFFORD |
State: | VA |
Postal Code: | 225547161 |
Phone Number: | 8432138343 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2013 |
NPI Last Update Date: | 03/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010414 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
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 |