Individual provider · Type 1 NPI
Lauren E. Illencik, ORT/L
Occupational Therapist · Virginia Beach, VA
Practice location
5301 Providence Rd Ste 80AND90
Virginia Beach, VA 23464-4128
Fax (757) 467-2716
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Other practice locations
- 5130 N US Highway 89, Flagstaff, AZ 86004-2837 · (928) 773-2054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 0119008159 (VA) |
| Occupational Therapist | 225X00000X | 009314 (AZ) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
3 other providers at this address
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About NPI 1366021354
Lauren E. Illencik, ORT/L's National Provider Identifier is 1366021354, issued on Apr 6, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Apr 28, 2025.