Individual
LAUREN NICHOLE GRUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1909 DONALD DR, LOUISVILLE, KY 40216-1531
(502) 438-3447
Mailing address
1909 DONALD DR, LOUISVILLE, KY 40216-1531
(502) 438-3447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00223260
KY
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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