Individual
MRS. LAUREN KATHRYN HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
098954
IA
225XP0200X
Pediatric Occupational Therapist
056008429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056008429
ILLINIOS OCCUPATIONAL THERAPY LICENSE
IL
Enumeration date
09/03/2008
Last updated
11/21/2019
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