Individual
LAUREN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
OTH-007597
AZ
225XE1200X
Ergonomics Occupational Therapist
Primary
OTH-007597
AZ
225XG0600X
Gerontology Occupational Therapist
OTH-007597
AZ
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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