Provider Demographics
NPI:1316722945
Name:BEECK, LAURA ROBIN (PT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ROBIN
Last Name:BEECK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ROBIN
Other - Last Name:GRUBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4925 HARMAN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-2918
Mailing Address - Country:US
Mailing Address - Phone:171-755-4824
Mailing Address - Fax:
Practice Address - Street 1:1 TRINITY DR E
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-8522
Practice Address - Country:US
Practice Address - Phone:717-432-7719
Practice Address - Fax:717-432-7531
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002372E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist