Individual
MS. LAURA BAUM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 314-8554
Mailing address
1111 MENAUL BLVD NE, ALBUQUERQUE, NM 87107-1614
(505) 314-8554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1060705
TX
225100000X
Physical Therapist
Primary
2329
NM
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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