Provider Demographics
NPI:1649447756
Name:HUNTER, LAURA ARLETTE (PT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ARLETTE
Last Name:HUNTER
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 1:307 SW 191ST TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5448
Mailing Address - Country:US
Mailing Address - Phone:954-437-3458
Mailing Address - Fax:954-437-8242
Practice Address - Street 1:2731 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3657
Practice Address - Country:US
Practice Address - Phone:954-636-9480
Practice Address - Fax:954-437-8242
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0009876225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic