Provider Demographics
NPI:1497090559
Name:NEWMAN, LAURIE BETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:BETH
Last Name:NEWMAN
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 1:342 GREENWOLD CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7005
Mailing Address - Country:US
Mailing Address - Phone:614-431-5279
Mailing Address - Fax:614-431-5279
Practice Address - Street 1:342 GREENWOLD CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7005
Practice Address - Country:US
Practice Address - Phone:614-286-8404
Practice Address - Fax:614-431-5279
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics