Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT26841 | FL |
NPI | 1346303625 |
---|---|
Provider Name | Ms. Laura Partnoyute |
First Address | Palm Harbor, FL 34683-6272 |
Second Address | Palm Harbor, FL 34683-6272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 13/06/2019 |