Individual ProviderLaurie A ShammaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1905 Leary Ln, Eci Department, Victoria, TX 77901-2818(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Laurie A Shamma does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1770637746Provider TypeIndividualFull NameShamma, Laurie ACredentialPTGenderFemaleSole ProprietorNoEnumeration Date1/23/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1905 Leary Ln, Eci Department, Victoria, TX 77901-2818Phone(361) 573-0731Fax(361) 576-4804Mailing LocationMailing Address1905 Leary Ln, Eci Department, Victoria, TX 77901-2818Phone(361) 573-0731Fax(361) 576-4804Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1122125Texas