Provider Demographics
NPI:1699008847
Name:MEYER, LAURA JANE (MSOTR, PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JANE
Last Name:MEYER
Suffix:
Gender:F
Credentials:MSOTR, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2086 S OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4135
Mailing Address - Country:US
Mailing Address - Phone:303-777-0447
Mailing Address - Fax:
Practice Address - Street 1:2086 S OGDEN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4135
Practice Address - Country:US
Practice Address - Phone:303-777-0447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO21244225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist