Provider Demographics
NPI:1962791939
Name:DODD, LAURA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:DODD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9123 E CASHIERS CT
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-8855
Mailing Address - Country:US
Mailing Address - Phone:352-201-2532
Mailing Address - Fax:352-419-0110
Practice Address - Street 1:3424 S WINDING PATH
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-7518
Practice Address - Country:US
Practice Address - Phone:352-201-2532
Practice Address - Fax:352-419-0110
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT2129225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist