Provider Demographics
NPI:1881047645
Name:ROWAN, LAURA (OT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ROWAN
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:181 ALBANY TPKE
Practice Address - Street 2:
Practice Address - City:OLD CHATHAM
Practice Address - State:NY
Practice Address - Zip Code:12136-2206
Practice Address - Country:US
Practice Address - Phone:413-591-0211
Practice Address - Fax:413-341-4088
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-18
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023230225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty