Individual
GRAHAM ALEXANDER LAIDLER
Active
Individual
GRAHAM ALEXANDER LAIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008385
GA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12117846
CAQH
—
05
—
375060893B
—
GA
05
—
375060893D
—
GA
05
—
375060893E
—
GA
05
—
375060893F
—
GA
Enumeration date
01/02/2007
Last updated
10/27/2023
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