MEDICARE: LAUREN INEZ JAMES OTD, OTR/L, CLT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT3544	AR

General Provider Information

NPI Number	:	1225770894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN INEZ JAMES OTD, OTR/L, CLT

Provider Business Mailing Address
First Line	:	1707 W CUNNINGHAM AVE
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8414
Country	:	US
Telephone Number	:	479-684-1608
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 S BELLVIEW RD
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-4379
Country	:	US
Telephone Number	:	479-391-4683
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	06/08/2026

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