Individual
LAUREN ELISA STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1140 N KIMBALL AVE, SOUTHLAKE, TX 76092-5569
(817) 479-7019
Mailing address
7512 SANTOLINA DR, ARGYLE, TX 76226-3820
(972) 310-2811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121538
TX
Other
Enumeration date
02/25/2021
Last updated
09/18/2024
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