Provider Demographics
NPI:1346604931
Name:MERCHANT, LAUREN (MS,OTR/L)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:SUZANNE
Other - Last Name:STRUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5092 OUACHITA DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5513
Mailing Address - Country:US
Mailing Address - Phone:954-663-6152
Mailing Address - Fax:
Practice Address - Street 1:9977 WESTVIEW DR
Practice Address - Street 2:119
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-2596
Practice Address - Country:US
Practice Address - Phone:954-663-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
FLOT22553225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program