Doctor Name: | LAURA A DIMITROV |
NPI Number: | 1841212834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2442 |
Business Practice Address: | 1704 Lena St Ste A1 Santa Fe, NM - 875052002 |
Business Phone Number: | 5059825868 |
Business Fax Number: | 5059950500 |
Mailing Address: | 218 Las Mananitas St, SANTA FE |
State: | NM |
Postal Code: | 875011546 |
Phone Number: | 5056707428 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |