Individual
LAUREN M. DAUTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
480 BRAY CENTRAL DR, ALLEN, TX 75013-6418
(404) 323-8430
Mailing address
1250 HUNT ST APT 3401, RICHARDSON, TX 75082-0033
(404) 323-8430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216130
TX
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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