MEDICARE: LAURA VANARSDALE

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
1	225X00000X	Occupational Therapist	OT.0003489	CO
2	225X00000X	Occupational Therapist		CO

General Provider Information

NPI Number	:	1649990417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA VANARSDALE

Provider Business Mailing Address
First Line	:	800 S TAFT AVE
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80537-6347
Country	:	US
Telephone Number	:	970-222-5706
Fax Number	:

Provider Business Practice Location Address
First Line	:	2744 PLEASANT VALLEY RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-4083
Country	:	US
Telephone Number	:	970-222-5706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	02/15/2024

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Directions to “ LAURA VANARSDALE ” Practice Location

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