Provider Demographics
NPI:1013035542
Name:BURBINE, LAURA (OTRL)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BURBINE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:POPLASKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:607 NORTH AVE
Mailing Address - Street 2:#14
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880
Mailing Address - Country:US
Mailing Address - Phone:781-245-4446
Mailing Address - Fax:781-245-5505
Practice Address - Street 1:607 NORTH AVE
Practice Address - Street 2:#14
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880
Practice Address - Country:US
Practice Address - Phone:781-245-4446
Practice Address - Fax:781-245-5505
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9123225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist