Individual
LAUREN CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
(513) 791-5688
Mailing address
4440 CARVER WOODS DR, BLUE ASH, OH 45242-5529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT010796
OT LICENSE
OH
Enumeration date
09/18/2019
Last updated
09/18/2019
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