Provider Demographics
NPI:1811008485
Name:MIEAR, LAURA KAY (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KAY
Last Name:MIEAR
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:KAY
Other - Last Name:BARBRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:107 N FRANKLIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2994
Mailing Address - Country:US
Mailing Address - Phone:540-251-3423
Mailing Address - Fax:540-251-3314
Practice Address - Street 1:107 N FRANKLIN ST STE A
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2994
Practice Address - Country:US
Practice Address - Phone:540-674-6400
Practice Address - Fax:540-674-6055
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004002225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist