Individual
LAUREN BOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8002 SW 149TH AVE, B411, MIAMI, FL 33193-3144
(305) 781-9022
Mailing address
8002 SW 149TH AVE, B411, MIAMI, FL 33193-3144
(305) 781-9022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 12928
FL
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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