# INTEGRATIVE TOUCH PEDIATRIC OCCUPATIONAL THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073968632
- **Authorized official:** TAMMI REBELLA LAVIN LOTR (OWNER/THERAPIST)
- **Authorized official phone:** (504) 417-0281

## Contact information

- **Practice address:** 4 MICHAEL DR, LULING, LA 70070-3112
- **Practice address phone:** (504) 417-0281
- **Practice address fax:** (504) 417-0281
- **Mailing address:** 2655 N CAUSEWAY BLVD, STE. D, MANDEVILLE, LA 70471-6435
- **Mailing address phone:** (985) 871-6777
- **Mailing address fax:** (985) 871-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OTZ.12356 | LA | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016