Individual
LAUREN ROSE BERNHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6209 SWEDEN DR, RALEIGH, NC 27612-1907
(757) 613-5885
Mailing address
6209 SWEDEN DR, RALEIGH, NC 27612-1907
(757) 613-5885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14768
NC
Other
Enumeration date
12/29/2021
Last updated
02/07/2022
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