Individual
LAUREN KIMBERLEE BIBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Mailing address
7513 W 128TH LN, CEDAR LAKE, IN 46303-8882
(708) 296-6908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002807A
IN
Other
Enumeration date
04/02/2015
Last updated
05/20/2020
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