LAUREN VISTARAKULA

ROANOKE, VA
NPI1477170512
Former NameLAUREN PITTARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119007276)
Enumeration Date2020-07-05
Last Update Date2024-01-30
Business Address
LAUREN VISTARAKULA OTR/L
4335 BRAMBLETON AVE
ROANOKE, VA 24018-3404
Phone number: 540-315-3210
Mailing Address
LAUREN VISTARAKULA OTR/L
4335 BRAMBLETON AVE
ROANOKE, VA 24018-3404
Phone number: 540-315-3210
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