Provider Demographics
NPI:1679245302
Name:HARFORD, LAUREN ANN (COTA/L)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANN
Last Name:HARFORD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ANN
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:16074 BUCKEYE AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43310-9765
Mailing Address - Country:US
Mailing Address - Phone:937-925-6496
Mailing Address - Fax:
Practice Address - Street 1:16074 BUCKEYE AVE
Practice Address - Street 2:
Practice Address - City:BELLE CENTER
Practice Address - State:OH
Practice Address - Zip Code:43310-9765
Practice Address - Country:US
Practice Address - Phone:937-925-6496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03804224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant