Most Relevant Information
Provider Data
| NPI Number: | 1003542739 |
| Provider Name: | LAUREN STEPHANY OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT19124 |
Most Important Dates
| Enumeration Date: | 07/26/2022 |
| Last Updated: | 07/26/2022 |
Provider Practice Location
65 RED HILL CIR APT C
TIBURON
CA
949201724
Practice Location Phone/Fax
| Phone: | 7175382082 |
| Fax: |
Provider Mailing Location
65 RED HILL CIR APT C
TIBURON
CA
949201724
Provider Mailing Phone/Fax
| Phone: | 7175382082 |
| Fax: |