| Doctor Name: | DR. GORDON A LAURIE |
| NPI Number: | 1902145881 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 7389933-2401 |
| Business Practice Address: | 527 W 400 N Orem, UT - 840571916 |
| Business Phone Number: | 8017143366 |
| Business Fax Number: | 8017143227 |
| Mailing Address: | 527 W 400 N, OREM |
| State: | UT |
| Postal Code: | 840571916 |
| Phone Number: | 8017143366 |
| Fax Number: | 8017143227 |
| NPI Enumeration Date: | 02/12/2013 |
| NPI Last Update Date: | 02/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7389933-2401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| 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 |