Individual
LAUREN KIENZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
835 KEY WEST DR, PITTSBURGH, PA 15239-2531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9195
NC
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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