Individual
MRS. LAUREN E BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17817 N 114TH LN, SURPRISE, AZ 85378-6987
(623) 521-2125
Mailing address
17817 N 114TH LN, SURPRISE, AZ 85378-6987
(623) 521-2125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3636
AZ
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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