Individual
DOREEN JOY DANEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
484 WILLIAMSON RD STE 102, MOORESVILLE, NC 28117-8191
(704) 746-9698
Mailing address
484 WILLIAMSON RD STE 102, MOORESVILLE, NC 28117-8191
(704) 793-8475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
07/29/2022
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