Provider Demographics
NPI:1275022345
Name:GILES, LAURA MARGARET (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARGARET
Last Name:GILES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3614 SHAW AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1444
Mailing Address - Country:US
Mailing Address - Phone:423-618-3208
Mailing Address - Fax:
Practice Address - Street 1:4360 FERGUSON DR STE 120
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1683
Practice Address - Country:US
Practice Address - Phone:513-943-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT017361225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist