Provider Demographics
NPI:1962597690
Name:FRANKLIN, LAUREEN RENAE (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAUREEN
Middle Name:RENAE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:LAUREEN
Other - Middle Name:RENAE
Other - Last Name:RELEFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:11838 BERNARDO PLAZA CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128
Mailing Address - Country:US
Mailing Address - Phone:858-673-5437
Mailing Address - Fax:858-673-5434
Practice Address - Street 1:11838 BERNARDO PLAZA CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128
Practice Address - Country:US
Practice Address - Phone:858-673-5437
Practice Address - Fax:858-673-5434
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT11636225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist