Laura Michelle Sibley, OTRL

Individual provider Active NPI Pediatric Occupational Therapist · O'Fallon, MO

NPI 1417025529 · NPPES record last updated Aug 14, 2015

Key facts

NPI
1417025529
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
Practice address
632 Thornridge Dr.
O'Fallon, MO 63368
Phone
(636) 538-0855
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X MO Yes

Addresses

Primary practice location

632 Thornridge Dr.
O'Fallon, MO 63368

Mailing address

632 Thornridge Dr
O Fallon, MO 63368-3797
Phone (636) 538-0855

Other names

  • Mrs. Laura Michelle Suelmann Former name

Other providers in O'Fallon, MO

All providers in O'Fallon, MO · Pediatric Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.