Most Relevant Information
Provider Data
| NPI Number: | 1003330051 |
| Provider Name: | LAURA ELIZABETH CARRIERO PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA003860 |
Most Important Dates
| Enumeration Date: | 08/01/2017 |
| Last Updated: | 08/01/2017 |
Provider Practice Location
105 N MAIN ST STE C
CLEVELAND
GA
305281123
Practice Location Phone/Fax
| Phone: | 7062194507 |
| Fax: | 7068651501 |
Provider Mailing Location
6397 LEE HWY STE 300
CHATTANOOGA
TN
374212564
Provider Mailing Phone/Fax
| Phone: | 4232387217 |
| Fax: | 4233628684 |