Provider Demographics
NPI:1124241856
Name:SPINELLI, LAURA (ATR)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SPINELLI
Suffix:
Gender:F
Credentials:ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E MAIN ST
Mailing Address - Street 2:UNIT 42
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3130
Mailing Address - Country:US
Mailing Address - Phone:203-483-6238
Mailing Address - Fax:
Practice Address - Street 1:211 E MAIN ST
Practice Address - Street 2:UNIT 42
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3130
Practice Address - Country:US
Practice Address - Phone:203-483-6238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist