MEDICARE: ABBEY LAUREL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1351877	TX

General Provider Information

NPI Number	:	1841952967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBEY LAUREL

Provider Business Mailing Address
First Line	:	5806 ROEBUCK BAY DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-5567
Country	:	US
Telephone Number	:	817-313-6162
Fax Number	:

Provider Business Practice Location Address
First Line	:	10125 KATY FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1286
Country	:	US
Telephone Number	:	713-242-2270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	03/02/2026

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Directions to “ ABBEY LAUREL ” Practice Location

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