Provider Demographics
NPI:1760582720
Name:OHARE, LAURA R (LPTA)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:R
Last Name:OHARE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37354-1466
Mailing Address - Country:US
Mailing Address - Phone:615-342-9116
Mailing Address - Fax:
Practice Address - Street 1:9600 NUMBER 5 SCHOOL RD NW
Practice Address - Street 2:
Practice Address - City:ASH
Practice Address - State:NC
Practice Address - Zip Code:28420-2122
Practice Address - Country:US
Practice Address - Phone:920-287-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN02023225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant