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Individual

LAUREN RAE TROHKIMOINEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(307) 277-9572
Mailing address
7201 E SPOUSE DR APT B, PRESCOTT VALLEY, AZ 86314-6624
(307) 277-9572

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7102
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
109115-188
DRIVERS LICENSE
WY
Enumeration date
10/03/2017
Last updated
06/16/2018
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