LAUREN E ILLENCIK

VIRGINIA BEACH, VA
NPI1366021354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119008159)
Enumeration Date2021-04-06
Last Update Date2021-04-06
Business Address
LAUREN E ILLENCIK ORT/L
5301 PROVIDENCE RD STE 80AND90
VIRGINIA BEACH, VA 23464-4128
Phone number: 757-467-4604
Mailing Address
LAUREN E ILLENCIK ORT/L
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 914-294-4050
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