| Doctor Name: | MS. LAURA G. MARUSICH |
| NPI Number: | 1669408894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 1104172 |
| Business Practice Address: | 1300 Country Club Rd Suite C Santa Teresa, NM - 880089449 |
| Business Phone Number: | 5755890303 |
| Business Fax Number: | 5755894080 |
| Mailing Address: | 540 Meadow Oaks Ct, EL PASO |
| State: | TX |
| Postal Code: | 799323125 |
| Phone Number: | 9155812128 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 04/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1104172 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |