Healthcare Provider Details

I. General information

NPI: 1457760399
Provider Name (Legal Business Name): LAUREN SCHECKTER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1359 PINE ST
SAN FRANCISCO CA
94109-4807
US

IV. Provider business mailing address

1359 PINE ST
SAN FRANCISCO CA
94109-4807
US

V. Phone/Fax

Practice location:
  • Phone: 713-857-4534
  • Fax:
Mailing address:
  • Phone: 713-857-4534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number14177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: