Provider Demographics
NPI:1003041195
Name:BELL, LAURIE MICHELLE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:MICHELLE
Last Name:BELL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 GRANADA BLVD.
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3206
Mailing Address - Country:US
Mailing Address - Phone:239-851-1396
Mailing Address - Fax:
Practice Address - Street 1:1710 HEALTH PKWY
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0495
Practice Address - Country:US
Practice Address - Phone:239-566-3517
Practice Address - Fax:239-591-2051
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA19505225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant