Individual
KRISTINA LAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3941 E BASELINE RD STE 101, GILBERT, AZ 85234-2750
(480) 787-5387
Mailing address
7103 S ST RUBEN AVE, GILBERT, AZ 85298-4148
(612) 281-7387
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046947
AZ
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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