Provider Demographics
NPI:1134549413
Name:ARIOLA, LAURA SAFRED
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:SAFRED
Last Name:ARIOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 W SAMPLE RD
Mailing Address - Street 2:UNIT 304 POICIANA CONDOMINIUM
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3248
Mailing Address - Country:US
Mailing Address - Phone:561-314-8005
Mailing Address - Fax:
Practice Address - Street 1:5900 W SAMPLE RD
Practice Address - Street 2:UNIT 304 POICIANA CONDOMINIUM
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3248
Practice Address - Country:US
Practice Address - Phone:561-314-8005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 28960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist