Healthcare Provider Details

I. General information

NPI: 1871301895
Provider Name (Legal Business Name): ANNE RACHAEL LAUGHLIN MSOT, OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/23/2024
Certification Date: 12/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E LEE HWY
NEW MARKET VA
22844-3103
US

IV. Provider business mailing address

315 E LEE HWY
NEW MARKET VA
22844-3103
US

V. Phone/Fax

Practice location:
  • Phone: 540-740-8041
  • Fax:
Mailing address:
  • Phone: 540-335-6538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119009431
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: