Laurie Kathleen Abbott, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Ventura, CA

NPI 1962646695 · NPPES record last updated Oct 1, 2010

Key facts

NPI
1962646695
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
0T1631 (CA)
Practice address
1601 Eastman Avenue
Suite 103
Ventura, CA 93003
Phone
(805) 650-6290
Fax
(805) 650-6912
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
No

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
0T1631CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbott & Burkhart Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0T1631 CA Yes

Addresses

Primary practice location

1601 Eastman Avenue
Suite 103
Ventura, CA 93003

Mailing address

1601 Eastman Avenue
Suite 103
Ventura, CA 93003
Phone (805) 650-6290

Other providers in Ventura, CA

All providers in Ventura, CA · Pediatric Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.