Healthcare Provider Details

I. General information

NPI: 1457274664
Provider Name (Legal Business Name): LAUREN GRACE FLOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 NORTHWOODS BLVD STE 100
COLUMBUS OH
43235-4716
US

IV. Provider business mailing address

7903 DELLINGER RD
GALLOWAY OH
43119-7534
US

V. Phone/Fax

Practice location:
  • Phone: 614-545-8300
  • Fax:
Mailing address:
  • Phone: 740-602-1541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number560631
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: