Provider Demographics
NPI:1184491193
Name:DUKE, ANSLEY LAUREL
Entity type:Individual
Prefix:
First Name:ANSLEY
Middle Name:LAUREL
Last Name:DUKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7217 ELLI HARBOUR LN
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9143
Mailing Address - Country:US
Mailing Address - Phone:706-580-9513
Mailing Address - Fax:
Practice Address - Street 1:5412 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-2889
Practice Address - Country:US
Practice Address - Phone:419-279-9576
Practice Address - Fax:419-214-1233
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation