Individual
LAUREN BECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12400 OLIVE BLVD STE 340, CREVE COEUR, MO 63141-5456
(314) 750-0068
Mailing address
PO BOX 1092, COLUMBIA, IL 62236-1092
(314) 750-0068
(618) 281-9219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006002036
MO
225XP0200X
Pediatric Occupational Therapist
2006002036
MO
Other
Enumeration date
05/25/2017
Last updated
06/11/2019
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