Individual
LAUREN ASHLEY EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 THE FAIRWAY, RYDAL, PA 19046-1435
(215) 885-6800
(215) 576-5862
Mailing address
1109 WARWICK ST, PHILADELPHIA, PA 19116-1321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015882
PA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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