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NPI Code Detail

MEDICARE: LAURA ANN RIERSON MOT, OTR/L

MEDICARE:   LAURA ANN RIERSON  MOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist056009644IL

General Provider Information

NPI Number : 1497187405
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANN RIERSON MOT, OTR/L
Provider Business Mailing Address
First Line : 327 STERLING CIR
Second Line :
City : CARY
State : IL
Zip : 60013-1508
Country : US
Telephone Number : 309-212-1831
Fax Number :
Provider Business Practice Location Address
First Line : 300 CHURCH ST
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-1553
Country : US
Telephone Number : 309-212-1831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 07/31/2023

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Directions to “ LAURA ANN RIERSON MOT, OTR/L” Practice Location

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