Provider Demographics
NPI:1518107382
Name:DALBY, LAUREN KRASINSKI (PT)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:KRASINSKI
Last Name:DALBY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ROSE
Other - Last Name:KRASINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 CYPRESS CREEK ROAD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-918-0044
Mailing Address - Fax:512-918-0045
Practice Address - Street 1:1103 CYPRESS CREEK ROAD
Practice Address - Street 2:SUITE 103
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-918-0044
Practice Address - Fax:512-918-0045
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1186310225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist