Individual
LAUREN JUNE MINTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6624 LONE OAK DR, SHEBOYGAN, WI 53081-9102
(920) 918-7529
(920) 287-7247
Mailing address
6624 LONE OAK DR, SHEBOYGAN, WI 53081-9102
(414) 534-1570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008145
IL
225X00000X
Occupational Therapist
Primary
4552-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41071400
—
WI
Enumeration date
04/29/2008
Last updated
01/26/2009
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