Individual
LAUREN NETREFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8200 ROOSEVELT RD, FOREST PARK, IL 60130-2528
(708) 488-9850
Mailing address
375 PHEASANT CHASE DR, BOLINGBROOK, IL 60490-4511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057004268
IDFPR OTA LICENSE
IL
Enumeration date
05/02/2019
Last updated
06/24/2022
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