Individual
LAURIE SUZANNE RAULERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(186) 691-9324
(214) 575-2999
Mailing address
15820 ADDISON RD, ADDISON, TX 75001-3549
(214) 575-2999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109150
TX
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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