# FULL OF GRACE THERAPY LLC

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

## Provider details

- **NPI number:** 1720702236
- **Authorized official:** REBEKAH SOILEAU (OWNER)
- **Authorized official phone:** (337) 912-4021

## Contact information

- **Practice address:** 3403 PATRICK ST, LAKE CHARLES, LA 70605-1715
- **Practice address phone:** (337) 270-2424
- **Practice address fax:** (337) 735-7815
- **Mailing address:** 3403 PATRICK ST, LAKE CHARLES, LA 70605-1715
- **Mailing address phone:** (337) 270-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 09/15/2026