Laura Marie Wiggers, OTR/L

Individual provider Active NPI Occupational Therapist · Sherman, NY

NPI 1942519590 · NPPES record last updated Sep 30, 2010

Key facts

NPI
1942519590
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
63 016360 (NY)
Practice address
127 Park St.
Sherman Central School
Sherman, NY 14781-0950
Phone
(716) 761-6121
Fax
(716) 761-6119
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
63 016360NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Central School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 63 016360 NY Yes

Addresses

Primary practice location

127 Park St.
Sherman Central School
Sherman, NY 14781-0950

Mailing address

PO Box 950
127 Park St.
Sherman, NY 14781-0950
Phone (716) 761-6121

Other providers in Sherman, NY

All providers in Sherman, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.