Provider Demographics
NPI:1851542260
Name:WRIGHT, LAURA E (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:HENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 LINCOLN AVE SUITE 107
Mailing Address - Street 2:
Mailing Address - City:N. CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022
Mailing Address - Country:US
Mailing Address - Phone:724-483-3610
Mailing Address - Fax:724-489-4758
Practice Address - Street 1:812 BROAD AVE
Practice Address - Street 2:OSPTA BELLE VERNON
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012
Practice Address - Country:US
Practice Address - Phone:724-929-9524
Practice Address - Fax:724-929-9524
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022260000001Medicaid
PA396751Medicare Oscar/Certification
PA396610Medicare Oscar/Certification
PA1022260000001Medicaid