Provider Demographics
NPI:1699830968
Name:ANDREWS, LAURA LIBBY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LIBBY
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TADMUCK RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3309
Mailing Address - Country:US
Mailing Address - Phone:978-244-0163
Mailing Address - Fax:
Practice Address - Street 1:1 TADMUCK RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3309
Practice Address - Country:US
Practice Address - Phone:978-244-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2012225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist