Healthcare Provider Details

I. General information

NPI: 1114812005
Provider Name (Legal Business Name): LAURA MAURER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA KAPILOW OTR/L

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 CENTER DR STE E
LA MESA CA
91942-2952
US

IV. Provider business mailing address

16231 OAK CREEK TRL
POWAY CA
92064-1703
US

V. Phone/Fax

Practice location:
  • Phone: 619-466-6077
  • Fax:
Mailing address:
  • Phone: 908-723-4015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number16029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: