Individual
MRS. LAURA DAULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44201 DEQUINDRE RD STE 203, TROY, MI 48085-1117
(248) 964-5000
(219) 322-1414
Mailing address
44201 DEQUINDRE RD STE 203, TROY, MI 48085-1117
(248) 964-5000
(219) 322-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004507A
IN
225X00000X
Occupational Therapist
Primary
5201011084
MI
Other
Enumeration date
10/23/2007
Last updated
02/19/2021
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