Individual ProviderLauren Nicole KingOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404(210) 617-5300(956) 693-7577PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Nicole King does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417497512Provider TypeIndividualFull NameKing, Lauren NicoleCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date3/8/2017Last Updated4/25/2018Contact InformationPractice LocationPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404Phone(210) 617-5300FaxUnlisted FaxMailing LocationMailing Address1130 Broadway St Apt 428, San Antonio, TX 78215-1467Phone(956) 693-7577FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense118105Texas