Provider Demographics
NPI:1346303625
Name:PARTNOYUTE, LAURA (PT)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:PARTNOYUTE
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 1:2090 SWAN LN
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6272
Mailing Address - Country:US
Mailing Address - Phone:732-991-0657
Mailing Address - Fax:
Practice Address - Street 1:2090 SWAN LN
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-6272
Practice Address - Country:US
Practice Address - Phone:732-991-0657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT268412251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ065192Q8TMedicare ID - Type Unspecified