Provider Demographics
NPI:1578229118
Name:LAUGHTER, SARA CORINNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:CORINNE
Last Name:LAUGHTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:CORINNE
Other - Last Name:LAUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2726 AZUL ST
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1141
Mailing Address - Country:US
Mailing Address - Phone:858-500-2056
Mailing Address - Fax:
Practice Address - Street 1:10300 N MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1704
Practice Address - Country:US
Practice Address - Phone:619-956-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist