Provider Demographics
NPI:1033155734
Name:BYRNE, LAURA W (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:W
Last Name:BYRNE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:773 RIDGELYN DR
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-9742
Mailing Address - Country:US
Mailing Address - Phone:717-244-7561
Mailing Address - Fax:
Practice Address - Street 1:1410 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1253
Practice Address - Country:US
Practice Address - Phone:717-846-8455
Practice Address - Fax:717-846-0562
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000939E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist