Provider Demographics
NPI:1326392119
Name:ORR, LAURA QUIGLEY (DPT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:QUIGLEY
Last Name:ORR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 HELEN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7456
Mailing Address - Country:US
Mailing Address - Phone:717-270-5465
Mailing Address - Fax:717-270-5689
Practice Address - Street 1:840 HELEN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7456
Practice Address - Country:US
Practice Address - Phone:717-270-5465
Practice Address - Fax:717-270-5689
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA259354R9XMedicare Oscar/Certification