Individual
PAULA S LASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3623 GREENWOOD AVE, ROCKFORD, IL 61107-4819
(815) 226-8232
Mailing address
3623 GREENWOOD AVE, ROCKFORD, IL 61107-4819
(815) 226-8232
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056001345
IL
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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