Individual
LAUREN REARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 FIRST AVE, IVA, SC 29655-9643
(704) 692-5388
Mailing address
201 BILTMORE ST, GREENWOOD, SC 29649-1121
(704) 692-5388
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4494
SC
225XG0600X
Gerontology Occupational Therapist
7961
NC
Other
Enumeration date
06/22/2015
Last updated
12/06/2021
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