Lauren Courtney Gobble, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Chandler, AZ
NPI 1467911503 · NPPES record last updated Mar 18, 2019
Key facts
- NPI
- 1467911503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 007732 (AZ)
- Practice address
- 2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2882 - Phone
- (480) 855-0474
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007732 | AZ | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 007732 | AZ | Yes |
Addresses
Primary practice location
2175 N Alma School Rd Ste A106
Chandler, AZ 85224-2882
Mailing address
4509 E Loma Vista St
Gilbert, AZ 85295-5881
Other providers in Chandler, AZ
- Ronald William Gluff Jr.
- GM Family Dentistry of Gilbert, PLLC
- GM Family Dentistry, LLC
- Natalie Van Wagoner Gneiting
- Lenna Go
- Jay B Goble
- Jennifer Goehring
- Olivia Rose Goff Berry
- Hannah Goldberg
- Golden Pathways Home Care LLC
All providers in Chandler, AZ · Pediatric Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.