Most Relevant Information
Provider Data
| NPI Number: | 1003362641 |
| Provider Name: | LAUREN RUBARTS OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 056011577 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 05/11/2020 |
Provider Practice Location
611 W. PARK ST.
URBANA
IL
618012500
Practice Location Phone/Fax
| Phone: | 2173833400 |
| Fax: |
Provider Mailing Location
611 W. PARK ST.
URBANA
IL
618012500
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |