Provider Demographics
NPI:1538454632
Name:LAUR, PATRICIA JAYNE (COTA/L)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JAYNE
Last Name:LAUR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 E JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-9206
Mailing Address - Country:US
Mailing Address - Phone:724-588-7610
Mailing Address - Fax:724-588-9080
Practice Address - Street 1:339 E JAMESTOWN RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-9206
Practice Address - Country:US
Practice Address - Phone:724-588-7610
Practice Address - Fax:724-588-9080
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP003449L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant