Provider Demographics
NPI:1689358574
Name:PIATT, LAUREN- ASHLEIGH (PT)
Entity Type:Individual
Prefix:
First Name:LAUREN- ASHLEIGH
Middle Name:
Last Name:PIATT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14678 GRANDRUE PL
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-4387
Mailing Address - Country:US
Mailing Address - Phone:909-247-6070
Mailing Address - Fax:
Practice Address - Street 1:44501 16TH ST W STE 107
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2884
Practice Address - Country:US
Practice Address - Phone:661-974-7033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA304107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist