Individual
LAUREN A MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 781-4312
Mailing address
605 DONNIE AVE, KILLEEN, TX 76541-8918
(254) 634-8505
(254) 781-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111956
TX
225XP0200X
Pediatric Occupational Therapist
Primary
111956
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220647605
—
TX
Enumeration date
05/03/2011
Last updated
05/09/2018
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