Individual
LAUREN KITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Contact information
Practice address
1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1347
(541) 868-9430
Mailing address
2214 AVENGALE DR, EUGENE, OR 97408-4800
(503) 508-0697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
473905
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473905
OREGON OCCUPATIONAL THERAPY LICENSE
OR
Enumeration date
11/07/2022
Last updated
11/07/2022
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