Individual
MS. LAUREN BETH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
077884
IA
224Z00000X
Occupational Therapy Assistant
2010018661
MO
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1410
ID
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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