Kidman, Laura V

Kidman, Laura V is an individual health care provider with primary practice located at 489 Washington St Ste 200, Auburn MA 01501-2739. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kidman, Laura V can be contacted via phone (508) 721-0000.

Contact Information

Primary practice address
489 Washington St Ste 200 Auburn MA 01501-2739
Phone: (508) 721-0000
Fax: (508) 721-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 15686 Massachusetts

Profile Details

NPI number 1730148347
LBN Legal business name Kidman, Laura V
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Apr 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730148347 NPPES
Massachusetts MEDICAID 0713848

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