Provider Demographics
NPI:1518525005
Name:TRUITT, LAURIE (OTR)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:TRUITT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 OCONEE LN
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30529-4182
Mailing Address - Country:US
Mailing Address - Phone:706-491-5409
Mailing Address - Fax:
Practice Address - Street 1:516 OCONEE LN
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-4182
Practice Address - Country:US
Practice Address - Phone:706-491-5409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist