Provider Demographics
NPI:1851803365
Name:VAUS, LARIE FRANCES (OT/L)
Entity Type:Individual
Prefix:
First Name:LARIE
Middle Name:FRANCES
Last Name:VAUS
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:LARIE
Other - Middle Name:FRANCES
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:PO BOX 87294
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-7294
Mailing Address - Country:US
Mailing Address - Phone:910-483-8331
Mailing Address - Fax:910-483-8335
Practice Address - Street 1:130 STEPHENSON AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5894
Practice Address - Country:US
Practice Address - Phone:912-712-3999
Practice Address - Fax:912-438-6907
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT007715225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist