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Individual

MISS LAUREN MARIE ELITZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1949 AVENIDA DEL ORO, OCEANSIDE, CA 92056-5829
(760) 945-6500
Mailing address
1361 W 9TH AVE, APT 604, ESCONDIDO, CA 92029-2209
(978) 490-5907

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
41403
CA
225XP0200X
Pediatric Occupational Therapist
Primary
14249
CA

Other

Enumeration date
04/15/2014
Last updated
08/04/2015
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