Individual
MS. LAURA G. MARUSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1300 COUNTRY CLUB RD, SUITE C, SANTA TERESA, NM 88008-9449
(575) 589-0303
(575) 589-4080
Mailing address
540 MEADOW OAKS CT, EL PASO, TX 79932-3125
(915) 581-2128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1104172
TX
225100000X
Physical Therapist
Primary
3098
NM
Other
Enumeration date
06/22/2006
Last updated
04/11/2008
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