Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 31003812A | IN |
NPI | 1003937483 |
---|---|
Provider Name | Lauren K Rees |
First Address | Indianapolis, IN 46237-3669 |
Second Address | Indianapolis, IN 46237-3669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 24/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200683520 | FIRST STEPS (01) | IN |