Individual
DAWN LADUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
19 CREEKSIDE CIR APT B, ELGIN, IL 60123-1110
(207) 491-2219
Mailing address
2721 FOX HOLLOW CT, LAKE ORION, MI 48360-1717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
05793
MD
225X00000X
Occupational Therapist
31004437A
IN
225X00000X
Occupational Therapist
5201004890
MI
314000000X
Skilled Nursing Facility
Primary
0119004769
VA
Other
Enumeration date
05/08/2007
Last updated
07/29/2022
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