LAUREN STEPHANY OT

65 RED HILL CIR APT C, TIBURON, CA, 949201724

atlas:atm_npi_1003542739

Block 2001Block Group 2Census Tract 1242Marin County California United States

What is stored

status: A
address: 65 RED HILL CIR APT C, TIBURON, CA, 949201724
npi: 1003542739
license: OT19124
taxonomy: Occupational Therapist
other names: []
last updated: 2022-07-26
license state: CA
taxonomy code: 225X00000X
all taxonomies: ["Occupational Therapist"]
sole proprietor: YES
enumeration date: 2022-07-26
enumeration type: NPI-1
practice locations: 0

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Read fact fields

{
  "npi": "1003542739",
  "status": "A",
  "address": "65 RED HILL CIR APT C, TIBURON, CA, 949201724",
  "license": "OT19124",
  "taxonomy": "Occupational Therapist",
  "other_names": [],
  "last_updated": "2022-07-26",
  "license_state": "CA",
  "taxonomy_code": "225X00000X",
  "all_taxonomies": [
    "Occupational Therapist"
  ],
  "sole_proprietor": "YES",
  "enumeration_date": "2022-07-26",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}