Provider Demographics
NPI:1548481567
Name:WEINSTEIN, LAURI R
Entity type:Individual
Prefix:
First Name:LAURI
Middle Name:R
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DALE COURT
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-1813
Mailing Address - Country:US
Mailing Address - Phone:617-875-6041
Mailing Address - Fax:781-643-1800
Practice Address - Street 1:19 MYSTIC ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-1109
Practice Address - Country:US
Practice Address - Phone:617-875-6041
Practice Address - Fax:781-643-1800
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1910225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist