Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5402 | CT |
NPI | 1003435330 |
---|---|
Provider Name | Lauren Trapp |
First Address | East Hampton, CT 06424-1639 |
Second Address | East Hampton, CT 06424-1639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2020 |
Last Update Date | 16/04/2020 |