Most Relevant Information
Provider Data
| NPI Number: | 1003432741 |
| Provider Name: | LAUREN ASHLEY HAZEL OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 3100705A |
Most Important Dates
| Enumeration Date: | 06/18/2020 |
| Last Updated: | 06/18/2020 |
Provider Practice Location
35 EXECUTIVE DR STE 5
LAFAYETTE
IN
479054881
Practice Location Phone/Fax
| Phone: | 7654468300 |
| Fax: |
Provider Mailing Location
35 EXECUTIVE DR STE 5
LAFAYETTE
IN
479054881
Provider Mailing Phone/Fax
| Phone: | 7654468300 |
| Fax: |