Basic Information
Provider Information
NPI: 1326320730
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: LAURA
MiddleName: LYNN
NamePrefix: MRS.
NameSuffix:  
Credential: MS OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3399 WINTON RD S
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146233057
CountryCode: US
TelephoneNumber: 5853346000
FaxNumber: 5853341646
Practice Location
Address1: 3399 WINTON RD S
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146233057
CountryCode: US
TelephoneNumber: 5853346000
FaxNumber: 5853341646
Other Information
ProviderEnumerationDate: 09/12/2011
LastUpdateDate: 09/12/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200X005522-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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