Provider Demographics
NPI:1013132935
Name:THOMAS-COUSAR, LAURA B (PT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:THOMAS-COUSAR
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 1:534 SUNNY RIVER LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2176
Mailing Address - Country:US
Mailing Address - Phone:281-232-3954
Mailing Address - Fax:
Practice Address - Street 1:13130 CANE LAKE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7418
Practice Address - Country:US
Practice Address - Phone:713-334-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056034225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist