Individual
LAUREN SIMONIAN JEZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6508 BANBURY XING, BRENTWOOD, TN 37027-8262
(901) 210-7823
Mailing address
6508 BANBURY XING, BRENTWOOD, TN 37027-8262
(901) 210-7823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2640
TN
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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