Individual
LAURA SOPHIA LIEDTKA
Active
Individual
LAURA SOPHIA LIEDTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
1127
MT
225XP0200X
Pediatric Occupational Therapist
Primary
1127
MT
225XP0200X
Pediatric Occupational Therapist
OT 00003449
WA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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