Individual
MRS. LAUREN M ECKENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MA, OTR/L
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-2806
(814) 877-6000
Mailing address
450 EDGEWOOD DR, FAIRVIEW, PA 16415-1716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014906
PA
225X00000X
Occupational Therapist
OT010048
OH
Other
Enumeration date
01/25/2017
Last updated
02/07/2018
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