Provider Demographics
NPI:1639468903
Name:SOROKES, LAURA FOSTER (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:FOSTER
Last Name:SOROKES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GENERAL FORBES RD
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-9305
Mailing Address - Country:US
Mailing Address - Phone:412-779-5078
Mailing Address - Fax:724-327-8669
Practice Address - Street 1:1000 GENERAL FORBES RD
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-9305
Practice Address - Country:US
Practice Address - Phone:412-779-5078
Practice Address - Fax:724-327-8669
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011418225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist