Individual
MRS. LAURA J HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, OCS
Contact information
Practice address
750 WEST PACIFIC AVENUE, TELLURIDE, CO 81435-2228
(970) 728-8948
(970) 728-8953
Mailing address
PO BOX 2228, TELLURIDE, CO 81435-2228
(970) 728-8948
(970) 728-8953
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6388
CO
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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