Individual
MRS. LAUREN K SLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8298
(540) 460-0770
Mailing address
541 HINSON DR APT 521, MYRTLE BEACH, SC 29579-4453
(540) 460-0770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3328
SC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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