Provider Demographics
NPI:1861726846
Name:NAGGAN, LAORA (PT, DPT)
Entity type:Individual
Prefix:
First Name:LAORA
Middle Name:
Last Name:NAGGAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HOGLA ST.
Mailing Address - Street 2:APT. 5
Mailing Address - City:BE'ER SHEVA
Mailing Address - State:THE NEGEV
Mailing Address - Zip Code:84722
Mailing Address - Country:IL
Mailing Address - Phone:01197277-505-1822
Mailing Address - Fax:
Practice Address - Street 1:36 HOGLA ST.
Practice Address - Street 2:APT. 5
Practice Address - City:BE'ER SHEVA
Practice Address - State:THE NEGEV
Practice Address - Zip Code:84722
Practice Address - Country:IL
Practice Address - Phone:01197277-505-1822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist