Healthcare Provider Details

I. General information

NPI: 1396660924
Provider Name (Legal Business Name): LAURA E PAPPAS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 OSLER DR STE 301
TOWSON MD
21204-7744
US

IV. Provider business mailing address

2004 GARDEN DR
FOREST HILL MD
21050-3182
US

V. Phone/Fax

Practice location:
  • Phone: 410-337-1349
  • Fax:
Mailing address:
  • Phone: 443-831-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45249
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: