Provider Demographics
NPI:1720215908
Name:BURGER, LAURA ANN (OTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:BURGER
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:EBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:164 LUAKAHA CIR
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8286
Mailing Address - Country:US
Mailing Address - Phone:808-269-1720
Mailing Address - Fax:866-431-9522
Practice Address - Street 1:1325 S KIHEI RD
Practice Address - Street 2:SUITE 114
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8179
Practice Address - Country:US
Practice Address - Phone:808-269-1720
Practice Address - Fax:866-431-9522
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI487225X00000X
225XE1200X, 225XH1200X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation