MEDICARE: MRS. LAUREN MARIE ESQUER OTR/L

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	225100000X	Physical Therapist	41403	CA
2	225XP0200X	Pediatric Occupational Therapist	14249	CA

General Provider Information

NPI Number	:	1568881860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN MARIE ESQUER OTR/L

Provider Business Mailing Address
First Line	:	1660 W ACOMA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-2377
Country	:	US
Telephone Number	:	978-490-5907
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 W ACOMA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85023-2377
Country	:	US
Telephone Number	:	978-490-5907
Fax Number	:

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

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	06/16/2026

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