| NPI | 1891019840 |
|---|---|
| Former Name | LAUREN BETH SOFEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501016476) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-017704) |
| 225100000X Physical Therapist (Licence: MI 5501016476) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-12-05 |