Provider Demographics
NPI:1790940625
Name:MARTIN, LAURIE CHRISTINE (MPT)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:CHRISTINE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:CHRISTINE
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:409 TURNBERRY DR.
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-609-3670
Mailing Address - Fax:405-605-8638
Practice Address - Street 1:409 TURNBERRY DR.
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-609-3670
Practice Address - Fax:405-605-8638
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4110225100000X
OKPT 4110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist