Individual
MRS. LAURIE T CUMBY
Active
Individual
MRS. LAURIE T CUMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978803
—
VA
01
—
139905
ANTHEM
VA
01
—
253291
MAMSI/ OPTIMUM CHOICE
—
01
—
5260640
AETNA
VA
Enumeration date
05/25/2006
Last updated
04/24/2018
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