Provider Demographics
NPI:1669861639
Name:SHERWOOD, LAURA LEIGH (PT, DPT, OCS)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEIGH
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:LEIGH
Other - Last Name:DENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:705 17TH ST
Mailing Address - Street 2:SUITE 407
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3500
Mailing Address - Country:US
Mailing Address - Phone:706-321-0930
Mailing Address - Fax:706-571-0960
Practice Address - Street 1:705 17TH ST
Practice Address - Street 2:SUITE 407
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3500
Practice Address - Country:US
Practice Address - Phone:706-321-0930
Practice Address - Fax:706-571-0960
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0099512251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic