Provider Demographics
NPI:1740539527
Name:O'SHEA, LAUREN ELIZABETH (DPT)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:O'SHEA
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 1:1100 H ST NW
Mailing Address - Street 2:SUITE LL110
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005
Mailing Address - Country:US
Mailing Address - Phone:202-347-2373
Mailing Address - Fax:202-347-2375
Practice Address - Street 1:35008 EMERALD COAST PKWY STE 400
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-4753
Practice Address - Country:US
Practice Address - Phone:850-714-6166
Practice Address - Fax:850-714-6167
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT871373225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCPT871373OtherLICENSE
1740539527OtherNPI
FLPT35826OtherLICENSE