Lauren Mavus, OTR
Occupational Therapist in Newark, NJ. Individual provider (NPI-1).
NPI number1457579922
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457579922
- Entity type
- Individual (NPI-1)
- Name
- Lauren Mavus
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | TR00422900 | NJ | Yes |
Practice location
150 Bergen StNewark, NJ 07103-2496
Phone 973-972-3466
Mailing address
150 Bergen StNewark, NJ 07103-2496
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