Individual
LAUREN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 E COLUMBIA AVE, TELLURIDE, CO 81435-8143
(518) 852-0893
Mailing address
PO BOX 1037, TELLURIDE, CO 81435-1037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343717
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343717
NBCOT
NY
Enumeration date
10/11/2019
Last updated
10/11/2019
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