Individual
LAUREN C KOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004945A
IN
225XH1200X
Hand Occupational Therapist
31004945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062110019
MEDICARE PTAN
IN
05
—
201029950
—
IN
Enumeration date
05/18/2010
Last updated
04/01/2024
Update your record
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