| Doctor Name: | LAURA R WILLARD |
| NPI Number: | 1598834848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1135424 |
| Business Practice Address: | 2931 Ridge Rd Ste 115 Rockwall, TX - 750326669 |
| Business Phone Number: | 9727714343 |
| Business Fax Number: | |
| Mailing Address: | 481 Ashwood Ln, FAIRVIEW |
| State: | TX |
| Postal Code: | 750698547 |
| Phone Number: | 9725428318 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 08/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1135424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |