MRS. Laura Marie Bolliver, OT

NPI #1710194089 in Southold, New York

Provider Information

NPI Number: 1710194089
Entity Type: Individual
Name: MRS. Laura Marie Bolliver, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 365 SEAWOOD DR
City: Southold
State: New York
ZIP Code: 11971-3828
Phone: (631) 765-2157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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