Provider Demographics
NPI:1265843908
Name:ELKIN, LAURA NOBLES (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:NOBLES
Last Name:ELKIN
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 1:6732 US HIGHWAY 220 S
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-1578
Mailing Address - Country:US
Mailing Address - Phone:336-465-0563
Mailing Address - Fax:
Practice Address - Street 1:6732 US HIGHWAY 220 S
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27205-1578
Practice Address - Country:US
Practice Address - Phone:336-465-0563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15782251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics