Provider Demographics
NPI:1679873277
Name:SCHLACHT, LAUREN JAYNE (DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JAYNE
Last Name:SCHLACHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10925 SW 113TH PL APT C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-3196
Mailing Address - Country:US
Mailing Address - Phone:440-666-7839
Mailing Address - Fax:
Practice Address - Street 1:5901 SW 74TH ST STE 303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5165
Practice Address - Country:US
Practice Address - Phone:305-668-6666
Practice Address - Fax:305-668-6666
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist