Provider Demographics
NPI:1053432765
Name:CARAMORE, LAURA J (OTR L)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:CARAMORE
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 KATONA DR
Mailing Address - Street 2:SUITE 22
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-3544
Mailing Address - Country:US
Mailing Address - Phone:203-767-0981
Mailing Address - Fax:203-275-8079
Practice Address - Street 1:1305 POST RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6016
Practice Address - Country:US
Practice Address - Phone:203-767-0981
Practice Address - Fax:203-367-8842
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT002476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist