Provider Demographics
NPI:1073831616
Name:SMITH, LAURA CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:CHRISTINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 S COEUR DALENE ST
Mailing Address - Street 2:BLDG C APT. 204
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-6440
Mailing Address - Country:US
Mailing Address - Phone:509-991-3154
Mailing Address - Fax:
Practice Address - Street 1:1403 S GRAND BLVD
Practice Address - Street 2:SUITE 203 SOUTH
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2263
Practice Address - Country:US
Practice Address - Phone:509-835-4404
Practice Address - Fax:509-835-4400
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60131335225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics