Lauren A Icenhower COTA

NPI 1134437882 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1134437882
Gender Female
Enumeration Date 09/15/2010
Last Updated 04/27/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
WEST FORK AR, 72774-3144, US
Phone (479) 839-3030
Fax (479) 839-3045
Business Location
KANSAS CITY MO, 64114-2231, US
Phone (870) 784-0821
Fax (501) 589-2521
Taxonomy Code 224Z00000X
License State Arkansas
License Number OT-A611
Remove 1134437882 NPI Number

According to our database, Miss Lauren A Icenhower COTA NPI is 1134437882, taxonomy code is 224Z00000X and license number is OT-A611, license state is located at Arkansas. Lauren A Icenhower COTA physically located at 365 Mcknight Ave, West Fork AR, 72774-3144. NPI Number Lauren A Icenhower COTA has the Individual type.

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1134437882 NPI number is provided on an as is basis without warranty of any kind. 1134437882 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren A Icenhower COTA are for informational purposes only.