Provider Demographics
NPI:1528183803
Name:CAMERON, LAURA JOAN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:JOAN
Last Name:CAMERON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:JOAN
Other - Last Name:DUMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:32 PALERMO ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5827
Mailing Address - Country:US
Mailing Address - Phone:978-655-3082
Mailing Address - Fax:
Practice Address - Street 1:700 CHICKERING RD
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1928
Practice Address - Country:US
Practice Address - Phone:978-681-9397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9268225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist