Provider Demographics
NPI:1306408372
Name:LORY, LAURA BETH (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:LORY
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:BETH
Other - Last Name:HILDEBRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140 RIVERSIDE BLVD APT 924
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0609
Mailing Address - Country:US
Mailing Address - Phone:440-225-2233
Mailing Address - Fax:
Practice Address - Street 1:244 W 54TH ST UNIT 404
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5597
Practice Address - Country:US
Practice Address - Phone:212-496-1187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand