Provider Demographics
NPI:1750827648
Name:CHAPMAN, LAURA LOGAN (PT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LOGAN
Last Name:CHAPMAN
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 1:1801 INDIAN CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1748
Mailing Address - Country:US
Mailing Address - Phone:205-910-7689
Mailing Address - Fax:205-969-5843
Practice Address - Street 1:1801 INDIAN CREEK CIR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-1748
Practice Address - Country:US
Practice Address - Phone:205-910-7689
Practice Address - Fax:205-969-5843
Is Sole Proprietor?:No
Enumeration Date:2017-01-16
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist