MEDICARE: LAURA T PAINTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1851105423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA T PAINTER

Provider Business Mailing Address
First Line	:	6312 COBBS DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-2535
Country	:	US
Telephone Number	:	254-214-4979
Fax Number	:

Provider Business Practice Location Address
First Line	:	6312 COBBS DR
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-2535
Country	:	US
Telephone Number	:	254-214-4979
Fax Number	:

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

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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Directions to “ LAURA T PAINTER ” Practice Location

Language	Start Address	Practice Location

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