Provider Demographics
NPI:1700392719
Name:SAILOR, LAUREN (OTR)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SAILOR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:TWAIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7990 E SNYDER RD APT 11208
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-9024
Mailing Address - Country:US
Mailing Address - Phone:712-210-6696
Mailing Address - Fax:
Practice Address - Street 1:7990 E SNYDER RD APT 11208
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-9024
Practice Address - Country:US
Practice Address - Phone:712-210-6696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2019-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist