Provider Demographics
NPI:1124825138
Name:SONINO, LAUREN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SONINO
Suffix:
Gender:
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 RACHAEL ST # B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-4273
Mailing Address - Country:US
Mailing Address - Phone:267-393-0159
Mailing Address - Fax:
Practice Address - Street 1:505 S LENOLA RD STE 207
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1594
Practice Address - Country:US
Practice Address - Phone:856-437-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01226000225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics