Individual
DALE M LAUREANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Mailing address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2111
AR
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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