Individual
LAUREN PLOEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4010 S IRONWOOD DR, SOUTH BEND, IN 46614-2200
(574) 291-2222
(317) 708-6496
Mailing address
2416 ELIZABETH ST, NILES, MI 49120-7709
(269) 313-2353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007362A
IN
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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