Individual
LAUREN N FATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3220, JACKSONVILLE, FL 32258-2645
(904) 288-9491
(904) 288-9698
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21518
FL
Other
Enumeration date
02/23/2021
Last updated
09/20/2023
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