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Individual

LAURA OLDENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
101 FREEMANS TRCE, YORKTOWN, VA 23693-3604
(661) 537-3778
Mailing address
101 FREEMANS TRCE, YORKTOWN, VA 23693-3604

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
0119006771
VA
225XP0200X
Pediatric Occupational Therapist
12922
CA
225XP0200X
Pediatric Occupational Therapist
1703153
KS
225XP0200X
Pediatric Occupational Therapist
Primary
274891
OR

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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