Individual
LAUREN ASHLEY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0002397
CO
225X00000X
Occupational Therapist
Primary
10419
MD
Other
Enumeration date
12/01/2023
Last updated
05/02/2025
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