Provider Demographics
NPI:1912558867
Name:ALTMAN, LAUREN TOWNSEND (OTR/L)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:TOWNSEND
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 GOLDEN OATS DR
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-6949
Mailing Address - Country:US
Mailing Address - Phone:919-961-5007
Mailing Address - Fax:
Practice Address - Street 1:325 N COOL SPRING ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5137
Practice Address - Country:US
Practice Address - Phone:910-323-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12778225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist