Provider Demographics
NPI:1437968724
Name:TARANTO, LAURA KATHERINE
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:KATHERINE
Last Name:TARANTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:KATE
Other - Last Name:TARANTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13219 HUGH SEYMOUR LN
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2288
Mailing Address - Country:US
Mailing Address - Phone:228-334-5035
Mailing Address - Fax:844-270-2749
Practice Address - Street 1:13219 HUGH SEYMOUR LN
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2288
Practice Address - Country:US
Practice Address - Phone:228-334-5035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT-4202225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics