Healthcare Provider Details

I. General information

NPI: 1861483653
Provider Name (Legal Business Name): LAURA J SCHLEIGER OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E HARMONY RD STE 170
FORT COLLINS CO
80528-8620
US

IV. Provider business mailing address

2315 E HARMONY RD STE 170
FORT COLLINS CO
80528-8620
US

V. Phone/Fax

Practice location:
  • Phone: 970-495-8450
  • Fax: 970-297-6599
Mailing address:
  • Phone: 970-495-8450
  • Fax: 970-297-6599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0004162
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: