| NPI | 1659670602 |
|---|---|
| Former Name | LAUREN BURDULIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07264) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 10298) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2019-05-20 |