Individual
MRS. LAUREL WINNICK WAPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 ORANGE CENTER RD, ORANGE, CT 06477-2962
(203) 795-0400
(203) 795-0400
Mailing address
400 ORANGE CENTER RD, ORANGE, CT 06477-2962
(203) 795-0400
(203) 795-0400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000086
CT
225XP0200X
Pediatric Occupational Therapist
000086
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086
STATE LICENSE
CT
Enumeration date
11/20/2007
Last updated
11/20/2007
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