Provider Demographics
NPI:1801132709
Name:GUZMAN, LAURA J (MOT OTR/L)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:J
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8034 SW 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6725
Mailing Address - Country:US
Mailing Address - Phone:305-595-0887
Mailing Address - Fax:
Practice Address - Street 1:6901 YUMURI ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3607
Practice Address - Country:US
Practice Address - Phone:786-517-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9288225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist