Laura Grubaugh, M.S. OTR/L

Occupational Therapist


Certification and Licensure:

Licensed Occupational Therapist, North Carolina

Board Certification Occupational Therapy, NBCOT


Specialized Training:

Natural Learning Environment Practices

Coaching Model

Sequential Oral Sensory (S.O.S) Approach to Feeding

Virginia Leadership Education in Neurodevelopmental Disabilities Training

Clinical and Community Services for Children with Neurodevelopmental Disabilities

Evaluation and Treatment of Children with Eating and Feeding Disorders

Reflex Integration within a Sensory Integration Framework



Developmental delay

Fine motor skill deficits

Visual motor skill deficits


Balance or postural control deficits

Feeding difficulties

Behavioral modification

Autism Spectrum Disorder

Attention Deficit Hyperactivity Disorder


Learning disability

Sensory Processing Disorder



We were referred to Raleigh Therapy Services by our daughter’s pediatrician. Our therapist is Laura Spencer. My daughter has struggled with mobility and coordination for 11 years, but after six months of therapy with Laura she has made major improvements with her hand eye coordination and fine motor skills. She has more fluid movement which has helped her self confidence. I think Laura has a real gift teaching children, she does so in a way that they don’t realize they are learning! She has been a miracle worker for our family! Victoria actually looks forward to therapy and her time with Laura! We appreciate everything that she has done for our family and we look forward to seeing the skills Victoria continues to build in OT. Laura has been a blessing to our family and we are so grateful for all of her attention and hard work to our daughter’s care!



Laura Spencer is a Raleigh, North Carolina native. She graduated Summa Cum Laude from Meredith College with a Bachelor of Arts in psychology. She earned her Master of Science degree in occupational therapy from Virginia Commonwealth University (VCU). While at VCU, Laura completed Virginia Leadership Education in Neurodevelopmental Disabilities’ (LEND) Advanced Medium-Term training program. This program included interdisciplinary clinical experiences and advanced coursework in developmental disabilities. It built the foundation of Laura’s holistic, collaborative, strength-based, and family-focused approach.

Laura is passionate about helping others develop skills. She began working with children as a teen, working as a tutor and tennis camp counselor. During college, neuropsychology and anatomy were among her favorite courses.   Laura worked as an assistant in an inclusive preschool classroom. She also worked with individual families to implement behavior modification programs, gaining experience working with children with Autism Spectrum Disorder (ASD). After graduation, Laura continued to work in early childhood education as a teacher, but began searching for a career that would also allow her to pursue her interest in science. As an occupational therapist, Laura is able to help others learn and overcome challenges in everyday life through engagement in play and other meaningful activities.

Laura has worked with children of all ages (birth-18) in outpatient and mental health settings. She has experience working with children with Attention Deficit Hyperactivity Disorder (ADHD), anxiety disorder, attachment disorder, ASD, developmental delay, developmental disability, dyspraxia, muscular weakness, Sensory Modulation Disorder, and Sensory Discrimination Disorder, as well as children who have difficulty with bilateral integration, coordination, handwriting, self-care, social skills, or emotional regulation. Laura enjoys incorporating sensory rich activities into treatment. By promoting sensory integration she is able to support children in developing the perceptual and motor skills that lay the foundation for attention, adaptive behavior, and academic achievement.