Provider Demographics
NPI:1881888519
Name:PLOUFFE, AMY (MS, PPS)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:PLOUFFE
Suffix:
Gender:F
Credentials:MS, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E CHAPMAN AVE
Mailing Address - Street 2:ST. 203
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3839
Mailing Address - Country:US
Mailing Address - Phone:714-680-8254
Mailing Address - Fax:714-680-9007
Practice Address - Street 1:801 E CHAPMAN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3839
Practice Address - Country:US
Practice Address - Phone:714-680-8254
Practice Address - Fax:714-680-9007
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner