Individual
MRS. ANDREA L LAUDENSLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0013252
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013252
COLORADO PT LICENSE
—
01
—
PT37732
CA PT LICENSE
CA
Enumeration date
07/05/2011
Last updated
07/14/2015
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