Healthcare Provider Details

I. General information

NPI: 1497500144
Provider Name (Legal Business Name): LAURYN DAZIEL HYLTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 SANDHILL DR STE 101-102
MIDDLETOWN DE
19709-5859
US

IV. Provider business mailing address

372 ARMSTRONG CORNER RD
MIDDLETOWN DE
19709-9766
US

V. Phone/Fax

Practice location:
  • Phone: 302-376-5066
  • Fax:
Mailing address:
  • Phone: 302-279-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0012651
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: