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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA SOPHIA LIEDTKA, OTR/L

Active Sole Proprietor

LAURA SOPHIA LIEDTKA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in MISSOULA, Montana. NPI 1538453089 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · MISSOULA, MT

Registration Details

NPI Number
1538453089
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2011 (15.162311496231 yrs)
Last Updated
Jun 1, 2011
Licenses
1127 (MT)
1127 (MT)
OT 00003449 (WA)
Sole Proprietor
Yes

Practice Information

Address
1207 MCDONALD AVE APT B
MISSOULA, MT, 598019109
Browse MT providers · Browse ZIP 59801
Phone
4063707176
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in MISSOULA, MT

Name Credential NPI
MS. CHRISTINE R. GRADEN OTR/L 1538240213
HALEYANN BROTH OTR/L 1770022162
LAUREL KRISTIAN REDMOND 1720582877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.