Individual
MRS. LAUREN SMITH SULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3451 GOODMAN RD E STE 108, SOUTHAVEN, MS 38672-9305
(662) 788-0119
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT009596
GA
225X00000X
Occupational Therapist
Primary
OT1949
MS
Other
Enumeration date
02/03/2012
Last updated
07/16/2025
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