Healthcare Provider Details

I. General information

NPI: 1013303338
Provider Name (Legal Business Name): LAUREN KINGSLEY AUMANN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 ARKANSAS DR
ANCHORAGE AK
99517-2519
US

IV. Provider business mailing address

4100 ARKANSAS DR
ANCHORAGE AK
99517-2519
US

V. Phone/Fax

Practice location:
  • Phone: 831-238-2657
  • Fax:
Mailing address:
  • Phone: 831-238-2657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number112050
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number15173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: