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1801231063

NPI Code Detail

MEDICARE: DR. LAURA ELIZABETH GOLDEN OTD, OTR/L

MEDICARE: DR. LAURA ELIZABETH GOLDEN OTD, OTR/L

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	115447	TX
2	225XN1300X	Neurorehabilitation Occupational Therapist	115447	TX
3	225XF0002X	Feeding, Eating & Swallowing Occupational Therapist	115447	TX
4	225XP0019X	Physical Rehabilitation Occupational Therapist	115447	TX
5	225XP0200X	Pediatric Occupational Therapist	115447	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8FAZ34	OTHER	TX	YOUR BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1801231063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA ELIZABETH GOLDEN OTD, OTR/L

Provider Business Mailing Address
First Line	:	3840 HULEN ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-7277
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3840 HULEN ST STE 100
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-7269
Country	:	US
Telephone Number	:	817-569-4300
Fax Number	:

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

Provider Enumeration Date	:	05/01/2013
Last Update Date	:	01/28/2026

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Directions to “ DR. LAURA ELIZABETH GOLDEN OTD, OTR/L” Practice Location

Language	Start Address	Practice Location

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