Individual
MS. LAURA L PESCOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T., M.P.T.
Contact information
Practice address
545 KIRKWOOD TER N, ST PETERSBURG, FL 33701-1613
(727) 644-4894
(727) 821-3395
Mailing address
545 KIRKWOOD TER N, ST PETERSBURG, FL 33701-1613
(727) 644-4894
(727) 821-3395
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 16890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811502800
—
FL
05
—
885755500
—
FL
Enumeration date
12/16/2005
Last updated
07/09/2007
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