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NPI Code Detail

MEDICARE: LAUREN ASHLEY DAVID OTR/L

MEDICARE: LAUREN ASHLEY DAVID 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
1225X00000XOccupational Therapist13129-AH-OTMA

General Provider Information

NPI Number : 1588264436
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ASHLEY DAVID OTR/L
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 SAINT ANTHONY ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01013-2141
Country : US
Telephone Number : 413-315-4205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2020
Last Update Date : 06/25/2024

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