Provider Demographics
NPI:1033397013
Name:KASPROWICZ, LAURA GAIL (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:GAIL
Last Name:KASPROWICZ
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 1:430 W BANDERA RD
Mailing Address - Street 2:SUITE #9
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2500
Mailing Address - Country:US
Mailing Address - Phone:830-249-7211
Mailing Address - Fax:830-249-4698
Practice Address - Street 1:430 W BANDERA RD
Practice Address - Street 2:SUITE #9
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2500
Practice Address - Country:US
Practice Address - Phone:830-249-7211
Practice Address - Fax:830-249-4698
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1078913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist