Provider Demographics
NPI:1164695748
Name:LAUMAN, JENNIFER BAKER (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:BAKER
Last Name:LAUMAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5252 MANHASSET CT
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3410
Mailing Address - Country:US
Mailing Address - Phone:770-624-4314
Mailing Address - Fax:
Practice Address - Street 1:1240 ASHFORD CENTER PKWY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-2673
Practice Address - Country:US
Practice Address - Phone:770-396-2483
Practice Address - Fax:770-396-2471
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004510225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAOT004510OtherGA BOARD OF OT-K. HANDEL