Laarni Erguiza
Individual provider Active NPI Physical Therapist · Aberdeen, NC
NPI 1205239209 · NPPES record last updated Oct 3, 2014
Key facts
- NPI
- 1205239209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12451 (NC)
- Practice address
- 407 Churchill Downs Dr
Aberdeen, NC 28315-3655 - Phone
- (910) 691-7420
- NPI assigned
- Oct 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12451 | NC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12451 | NC | Yes |
Addresses
Primary practice location
407 Churchill Downs Dr
Aberdeen, NC 28315-3655
Mailing address
407 Churchill Downs Dr
Aberdeen, NC 28315-3655
Phone (910) 691-7420
Other names
- Miss Laarni Lising Dizon
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All providers in Aberdeen, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.