Provider Demographics
NPI:1346130895
Name:VANHALL, LAUREN ROSE (OTR/L)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ROSE
Last Name:VANHALL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 BERESFORD CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3568
Mailing Address - Country:US
Mailing Address - Phone:434-987-4246
Mailing Address - Fax:
Practice Address - Street 1:906 BERESFORD CT
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3568
Practice Address - Country:US
Practice Address - Phone:434-987-4246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty