Provider Demographics
NPI:1104229020
Name:LAUER, DARIA MAURE (PT)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:MAURE
Last Name:LAUER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 S ANAHEIM HILLS RD STE 106
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4761
Mailing Address - Country:US
Mailing Address - Phone:714-685-0700
Mailing Address - Fax:714-685-9916
Practice Address - Street 1:500 S ANAHEIM HILLS RD STE 106
Practice Address - Street 2:SUITE 106
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4761
Practice Address - Country:US
Practice Address - Phone:714-685-0700
Practice Address - Fax:714-685-9916
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41009225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist