Individual
LAUREN RADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1962 VANDOLAH RD, WAUCHULA, FL 33873-8726
(863) 767-4411
(863) 773-9293
Mailing address
9815 CARLSDALE DRIVE, RIVERVIEW, FL 33569
(732) 261-2788
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT11681
FL
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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