Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 11761 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 11761 | CA |
NPI | 1447569298 |
---|---|
Provider Name | Jennifer Laur |
First Address | Santa Barbara, CA 93105-2929 |
Second Address | Santa Barbara, CA 93105-3877 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 05/11/2013 |