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Lauren Parks, COTA/L

Occupational Therapy Assistant in Peoria, IL. Individual provider (NPI-1).

NPI number1144770751
StatusActive
Last updated in NPPESOct 6, 2016

Details

NPI
1144770751
Entity type
Individual (NPI-1)
Name
Lauren Parks
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Oct 6, 2016
Last updated
Oct 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057.004606ILYes

Practice location

507 E Armstrong Ave
Peoria, IL 61603-3201

Phone 309-686-1177 · Fax 309-686-7722

Mailing address

507 E Armstrong Ave
Peoria, IL 61603-3201

Phone 309-686-1177 · Fax 309-686-7722

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