Hackle, Laura

Hackle, Laura is an sole proprietor health care provider with primary practice located at 4630 17Th St , Sarasota FL 34235-1843. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Hackle, Laura can be contacted via phone (941) 487-5406.

Contact Information

Primary practice address
4630 17Th St Sarasota FL 34235-1843
Phone: (941) 487-5406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT11850 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1619086980
LBN Legal business name Hackle, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Aug 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619086980 NPPES
Other 1055144 NBCOT CERTIFICATION
MEDICAID 890498700 NBCOT CERTIFICATION
Other OT 11850 NBCOT CERTIFICATION

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