# WELLSPRING THERAPY

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

## Provider details

- **NPI number:** 1750063061
- **Authorized official:** MICHEL CHAUVIN OT (OWNER, THERAPIST)
- **Authorized official phone:** (225) 250-5461

## Contact information

- **Practice address:** 5329 DIJON DR STE 103, BATON ROUGE, LA 70808-4378
- **Practice address phone:** (225) 250-5461
- **Mailing address:** 316 HIGHLAND TRACE DR, BATON ROUGE, LA 70810-5059
- **Mailing address phone:** (310) 428-6424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 08/04/2023