Provider Demographics
NPI:1770870420
Name:BAUER, LAURA ANN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:BAUER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 MEADOWBROOK DR
Mailing Address - Street 2:APT 15
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-2127
Mailing Address - Country:US
Mailing Address - Phone:518-813-9182
Mailing Address - Fax:518-262-4492
Practice Address - Street 1:5 MEADOWBROOK DR
Practice Address - Street 2:APT 15
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-2127
Practice Address - Country:US
Practice Address - Phone:518-813-9182
Practice Address - Fax:518-262-4492
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014090225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist