Lauren Ashley Eastburn
Individual provider Active NPI Occupational Therapist · Rydal, PA
NPI 1861977670 · NPPES record last updated Sep 27, 2018
Key facts
- NPI
- 1861977670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC015882 (PA)
- Practice address
- 1515 The Fairway
Rydal, PA 19046-1435 - Phone
- (215) 885-6800
- Fax
- (215) 576-5862
- NPI assigned
- Sep 27, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC015882 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC015882 | PA | Yes |
Addresses
Primary practice location
1515 The Fairway
Rydal, PA 19046-1435
Mailing address
1109 Warwick St
Philadelphia, PA 19116-1321
Other providers in Rydal, PA
- Blaine Cloud
- Renata Julia Colmanetti Soares
- David Abel MD, P.C.
- Cesar A Delatorre
- Lynn Marie Dellamonica
- Michael Ehmann
- Bernard L Epstein
- Jason Lyle Everett Sr.
- Francine Sari Katz
- Gwen Freedman
All providers in Rydal, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2018. 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.