Provider Demographics
NPI:1083347991
Name:JURNEY, LAURA JANE (OTA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:JANE
Last Name:JURNEY
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17607 LASTING ROSE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4932
Mailing Address - Country:US
Mailing Address - Phone:832-707-1381
Mailing Address - Fax:
Practice Address - Street 1:14815 CYPRESS NORTH HOUSTON RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6181
Practice Address - Country:US
Practice Address - Phone:281-477-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217370224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty