Individual
LAUREN TRIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
169 HIGHWAY 6 E, SUITE 102, OXFORD, MS 38655-9415
(662) 380-5030
(662) 380-5620
Mailing address
502 WEDGEWOOD DR, OXFORD, MS 38655-5414
(662) 832-5188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004512
VA
225X00000X
Occupational Therapist
Primary
OT2247
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04833718
—
MS
Enumeration date
07/14/2008
Last updated
09/06/2016
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