Provider Demographics
NPI:1558507509
Name:KAUFFMANN, LAURA CATHERINE (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:CATHERINE
Last Name:KAUFFMANN
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 1:400 LINCOLN PL APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5821
Mailing Address - Country:US
Mailing Address - Phone:502-552-7940
Mailing Address - Fax:
Practice Address - Street 1:400 LINCOLN PL APT 4B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5821
Practice Address - Country:US
Practice Address - Phone:502-552-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012813-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics