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Individual

NINA NOELLE LAUREANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
425 N PARK BLVD STE 100, LAKE ORION, MI 48362-3189
(248) 693-6835
(248) 693-7743
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005896
CO
225X00000X
Occupational Therapist
OT19930
FL
225X00000X
Occupational Therapist

Other

Enumeration date
06/27/2019
Last updated
12/27/2023
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