Individual
MRS. LAURA CATHERINE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
526 14TH ST, TUSCALOOSA, AL 35401-3434
(205) 345-4441
(205) 758-8880
Mailing address
2518 19TH ST E, TUSCALOOSA, AL 35404-4907
(205) 507-0880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1967
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201201528
TRICARE
AL
01
—
51522639
BLUE CROSS BLUE SHIELD
AL
01
—
51522640
BLUE CROSS BLUE SHIELD
AL
05
—
529923260
—
AL
Enumeration date
04/19/2006
Last updated
05/18/2011
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