Laura Gaines, PTA

NPI #1609097682 in Butler, Missouri

Provider Information

NPI Number: 1609097682
Entity Type: Individual
Name: Laura Gaines, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 103 E NURSERY
City: Butler
State: Missouri
ZIP Code: 64730-9309
Phone: (660) 679-3179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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