Healthcare Provider Details

I. General information

NPI: 1003729971
Provider Name (Legal Business Name): LAUREN ELIZABETH POLI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

2101 PENNSYLVANIA AVE
FORT WASHINGTON PA
19034-2912
US

IV. Provider business mailing address

559 MOCKINGBIRD WAY
WARRINGTON PA
18976-3016
US

V. Phone/Fax

Practice location:
  • Phone: 267-642-0626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: