Provider Demographics
NPI:1669066049
Name:CARPER, LAUREN RITCHIE (OTR/L)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:RITCHIE
Last Name:CARPER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:REED
Other - Last Name:RITCHIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:534 BATTLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:FORT DEFIANCE
Mailing Address - State:VA
Mailing Address - Zip Code:24437-2141
Mailing Address - Country:US
Mailing Address - Phone:540-908-1229
Mailing Address - Fax:
Practice Address - Street 1:534 BATTLEFIELD RD
Practice Address - Street 2:
Practice Address - City:FORT DEFIANCE
Practice Address - State:VA
Practice Address - Zip Code:24437-2141
Practice Address - Country:US
Practice Address - Phone:540-908-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-008914225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist