Provider Demographics
NPI:1780825299
Name:SOBOL, LAURA CROWE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CROWE
Last Name:SOBOL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3334 PEACHTREE RD NE
Mailing Address - Street 2:SUITE #1507
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-6801
Mailing Address - Country:US
Mailing Address - Phone:404-798-8809
Mailing Address - Fax:404-201-2928
Practice Address - Street 1:3334 PEACHTREE RD NE
Practice Address - Street 2:SUITE #1507
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-6801
Practice Address - Country:US
Practice Address - Phone:404-798-8809
Practice Address - Fax:404-201-2928
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT 3376225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics