Provider Demographics
NPI:1912467341
Name:FILES, LAURA BEATRICE (PT, MPT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BEATRICE
Last Name:FILES
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 S LOLA LN
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5937
Mailing Address - Country:US
Mailing Address - Phone:480-621-1272
Mailing Address - Fax:
Practice Address - Street 1:3422 S LOLA LN
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5937
Practice Address - Country:US
Practice Address - Phone:480-621-1272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1999225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist