Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 2508 | FL |
NPI | 1013122027 |
---|---|
Provider Name | Dr. Adrienne Lauer |
First Address | Pompano Beach, FL 33062-5968 |
Second Address | Pompano Beach, FL 33062-5968 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2007 |
Last Update Date | 08/07/2007 |