# LAUREL PHYSIATRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831497072
- **Authorized official:** RANDALL DAVID BORLAND M.D. (PRESIDENT)
- **Authorized official phone:** (724) 430-7434

## Contact information

- **Practice address:** 269 S MOUNT VERNON AVE, UNIONTOWN, PA 15401-4178
- **Practice address phone:** (724) 430-7434
- **Mailing address:** 269 S MOUNT VERNON AVE, UNIONTOWN, PA 15401-4178
- **Mailing address phone:** (724) 430-7434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2011
- **Last updated:** 07/21/2014