Provider Demographics
NPI:1740456631
Name:SOLAZZO, LAURA MARIE (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MARIE
Last Name:SOLAZZO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 RAINTREE IS APT 2
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-2727
Mailing Address - Country:US
Mailing Address - Phone:716-440-4041
Mailing Address - Fax:
Practice Address - Street 1:76 RAINTREE IS APT 2
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-2727
Practice Address - Country:US
Practice Address - Phone:716-440-4041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014535-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics