Individual
LAUREN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
727 RIVERA DRIVE, MULVANE, KS 67110
(316) 833-4650
Mailing address
727 RIVERA DR, MULVANE, KS 67110-1234
(316) 390-2997
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
18-01450
KS
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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