Healthcare Provider Details

I. General information

NPI: 1568862183
Provider Name (Legal Business Name): LAURA J SAY O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37701 COLORADO AVE STE D
AVON OH
44011-2841
US

IV. Provider business mailing address

PO BOX 987
MIDDLEFIELD OH
44062-0987
US

V. Phone/Fax

Practice location:
  • Phone: 440-236-2424
  • Fax: 216-292-3291
Mailing address:
  • Phone: 440-993-1004
  • Fax: 440-574-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010906
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31005731A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: