Healthcare Provider Details

I. General information

NPI: 1407987365
Provider Name (Legal Business Name): DORLAH CARLEEN KRAFT-GUILFOYLE OTR/L CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17111 G DR N
MARSHALL MI
49068-9641
US

IV. Provider business mailing address

17111 G DR N
MARSHALL MI
49068-9641
US

V. Phone/Fax

Practice location:
  • Phone: 269-781-5141
  • Fax:
Mailing address:
  • Phone: 269-781-5141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number05891
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number5201005212
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: