Provider Demographics
NPI:1982885828
Name:WAPLE, LAUREL WINNICK (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAUREL
Middle Name:WINNICK
Last Name:WAPLE
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 1:400 ORANGE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-2962
Mailing Address - Country:US
Mailing Address - Phone:203-795-0400
Mailing Address - Fax:203-795-0400
Practice Address - Street 1:400 ORANGE CENTER RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-2962
Practice Address - Country:US
Practice Address - Phone:203-795-0400
Practice Address - Fax:203-795-0400
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000086225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000086OtherSTATE LICENSE