Individual
LAUREN MIKALAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4223 PINE ST APT 3F, PHILADELPHIA, PA 19104-4042
(856) 630-5102
Mailing address
4223 PINE ST APT 3F, PHILADELPHIA, PA 19104-4042
(856) 630-5102
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC015315
PA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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