Provider Demographics
NPI:1427241330
Name:PLOSCZYNSKI, LAURIE KATHRYN (OT)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:KATHRYN
Last Name:PLOSCZYNSKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:WYATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:9420 HWY 188
Mailing Address - Street 2:SUITE 9
Mailing Address - City:IRVINGTON
Mailing Address - State:AL
Mailing Address - Zip Code:36544-3393
Mailing Address - Country:US
Mailing Address - Phone:251-824-2515
Mailing Address - Fax:251-650-1908
Practice Address - Street 1:9420 HWY 188
Practice Address - Street 2:SUITE 9
Practice Address - City:IRVINGTON
Practice Address - State:AL
Practice Address - Zip Code:36544-3393
Practice Address - Country:US
Practice Address - Phone:251-824-2515
Practice Address - Fax:251-650-1908
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2744225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist