# OT LAURA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316455769
- **Authorized official:** LAURA OBRIEN OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (708) 724-8780

## Contact information

- **Practice address:** 36 MAIN ST, PARK RIDGE, IL 60068-4059
- **Practice address phone:** (847) 692-6692
- **Mailing address:** 799 GRACELAND AVE UNIT 508, DES PLAINES, IL 60016-8623
- **Mailing address phone:** (708) 724-8780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 01/19/2018