MEDICARE: MRS. LAURA CLAUSS TREXLER O.T.R.

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	31000255A	IN
2	225XN1300X	Neurorehabilitation Occupational Therapist	31000255A	IN

General Provider Information

NPI Number	:	1841311750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA CLAUSS TREXLER O.T.R.

Provider Business Mailing Address
First Line	:	4141 SHORE DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-2607
Country	:	US
Telephone Number	:	317-329-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9531 VALPARAISO CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1130
Country	:	US
Telephone Number	:	317-879-8940
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/01/2011

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