Provider Demographics
NPI:1740577220
Name:HAIDER, LAINA MARIE (OT)
Entity Type:Individual
Prefix:MS
First Name:LAINA
Middle Name:MARIE
Last Name:HAIDER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E HENRY CLAY ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5513
Mailing Address - Country:US
Mailing Address - Phone:414-380-9646
Mailing Address - Fax:
Practice Address - Street 1:7950 FOOTTHILLS BLVD
Practice Address - Street 2:THE BRIDGES AT WOODCREEK OAKS
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747
Practice Address - Country:US
Practice Address - Phone:414-380-9646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist