Provider Demographics
NPI:1306127923
Name:MORANSKI, LAURA ANN (COTA)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANN
Last Name:MORANSKI
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:RAYMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:15 SURREY LN
Mailing Address - Street 2:A
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5755
Mailing Address - Country:US
Mailing Address - Phone:845-765-1622
Mailing Address - Fax:
Practice Address - Street 1:160 UNION ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3014
Practice Address - Country:US
Practice Address - Phone:845-437-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007155-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant