MEDICARE: LAUREN PIEKARSKI

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	224Z00000X	Occupational Therapy Assistant
2	225X00000X	Occupational Therapist	0119-008779	VA

General Provider Information

NPI Number	:	1124673421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN PIEKARSKI

Provider Business Mailing Address
First Line	:	3535 S BALL ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4426
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 S BALL ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4426
Country	:	US
Telephone Number	:	401-595-3771
Fax Number	:

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

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	12/16/2021

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Directions to “ LAUREN PIEKARSKI ” Practice Location

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