in Alexandria - Occupational Therapist

- NPI 1851342422

is a Occupational Therapist in Alexandria, Louisiana. practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for is 1851342422. The last update date is .

's current location address is 3446 Masonic Dr, Alexandria, Louisiana. You can contact this provider via phone number 3188800058 and fax number 3188800059. The mailing address for is 3446 Masonic Dr, Alexandria, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 3446 Masonic Dr, Alexandria, Louisiana
Phone Number 3188800058
Fax Number 3188800059
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1851342422
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 3446 Masonic Dr
City Alexandria
State Louisiana (LA)
Post Code 713013615
Phone Number 3188800058
Fax Number 3188800059

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No Z11902
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z11902 LA OCCUPATIONAL THERAPY LIC#
P00474235 LA RAILROAD MEDICARE

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