Individual
LAUREN RENE HEELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
301 CAMINO GARDENS BLVD STE 104, BOCA RATON, FL 33432-5823
(561) 494-4499
Mailing address
4245 KEYLIME BLVD, BOYNTON BEACH, FL 33436
(561) 494-4499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT23246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT23246
FLORIDA DEPARTMENT OF HEALTH LICENSE
FL
Enumeration date
07/12/2022
Last updated
07/12/2022
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