Provider Demographics
NPI:1518929355
Name:CAPLAN, LARAINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LARAINE
Middle Name:
Last Name:CAPLAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 W PUTNAM AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6895
Mailing Address - Country:US
Mailing Address - Phone:203-869-5546
Mailing Address - Fax:203-629-4836
Practice Address - Street 1:469 W PUTNAM AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6895
Practice Address - Country:US
Practice Address - Phone:203-869-5546
Practice Address - Fax:203-629-4836
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003747225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT5395444OtherAETNA
CT446927OtherPHCS
CT5395444OtherAETNA