Individual
LAURENLEE RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2580 NAKAI TRL, FLAGSTAFF, AZ 86005-3796
(602) 228-6338
Mailing address
2580 NAKAI TRL, FLAGSTAFF, AZ 86005-3796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6417
AZ
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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