Individual
LAURA N MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTR
Contact information
Practice address
170 W 12TH ST, SPELLMAN 7, NEW YORK, NY 10011-8202
(212) 604-6783
(212) 604-0204
Mailing address
170 W 12TH ST, SPELLMAN 7, NEW YORK, NY 10011-8202
(212) 604-6783
(212) 604-0204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
027354
NY
2251G0304X
Geriatric Physical Therapist
027354
NY
2251P0200X
Pediatric Physical Therapist
Primary
027354
NY
2251S0007X
Sports Physical Therapist
027354
NY
2251X0800X
Orthopedic Physical Therapist
027354
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027354
NY LICENSE NUMBER
NY
Enumeration date
01/03/2007
Last updated
09/11/2025
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