Healthcare Provider Details

I. General information

NPI: 1881888519
Provider Name (Legal Business Name): AMY PLOUFFE M.S., P.P.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 06/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E CHAPMAN AVE SUITE 203
FULLERTON CA
92831-3839
US

IV. Provider business mailing address

801 E CHAPMAN AVE ST. 203
FULLERTON CA
92831-3839
US

V. Phone/Fax

Practice location:
  • Phone: 714-680-8254
  • Fax: 714-680-9007
Mailing address:
  • Phone: 714-680-8254
  • Fax: 714-680-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: