Provider Demographics
NPI:1194192260
Name:TOGNETTI, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:TOGNETTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 W INTERSTATE AVE
Mailing Address - Street 2:SUITE 12, BLDG 3
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0955
Mailing Address - Country:US
Mailing Address - Phone:701-223-8717
Mailing Address - Fax:701-255-3957
Practice Address - Street 1:911 W INTERSTATE AVE
Practice Address - Street 2:SUITE 12, BLDG 3
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0955
Practice Address - Country:US
Practice Address - Phone:701-223-8717
Practice Address - Fax:701-255-3957
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist