Individual
LAUREN SHAMPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5209 NESUE TAVERN CT, RALEIGH, NC 27616
(919) 451-2917
Mailing address
5209 NESUE TAVERN CT, RALEIGH, NC 27616
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
056010189
IL
225XP0200X
Pediatric Occupational Therapist
Primary
9823
NC
Other
Enumeration date
06/17/2013
Last updated
07/17/2015
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