Individual
LAURA VETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 MAPLE ROW BLVD STE 202, HENDERSONVILLE, TN 37075-4492
(208) 310-0296
Mailing address
605 DOROTHY DR APT A, GOODLETTSVILLE, TN 37072-3416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 00003794
WA
225X00000X
Occupational Therapist
OT-921
ID
225XP0200X
Pediatric Occupational Therapist
Primary
OT3512
TN
Other
Enumeration date
08/31/2015
Last updated
02/13/2017
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