Individual
LAURA BACHMAN-MAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2790 N ACADEMY BLVD, SUITE 227, COLORADO SPRINGS, CO 80917-5337
(719) 425-7771
(719) 208-7730
Mailing address
2005 AEROPLAZA DR, COLORADO SPRINGS, CO 80916-4207
(719) 425-7771
(719) 208-7730
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0004332
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225X00000X
TAXONOMY
—
01
—
OT.0004332
STATE LICENSE
CO
Enumeration date
04/12/2016
Last updated
07/01/2022
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