Basic Information
| Provider Information | |||||||||
| NPI: | 1740794023 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SZYMCZYK | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | ASHLEY | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 93 WHEELOCK DR | ||||||||
| Address2: | |||||||||
| City: | BEDFORD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441463733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164081785 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6455 PEARL RD | ||||||||
| Address2: | |||||||||
| City: | PARMA HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441302984 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408885900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2017 | ||||||||
| LastUpdateDate: | 12/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT009729 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.