# BIANCHINI- BRENNAN TLC

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

## Provider details

- **NPI number:** 1770937971
- **Authorized official:** KEVIN J BIANCHINI PH.D (MANAGER)
- **Authorized official phone:** (504) 780-1702

## Contact information

- **Practice address:** 7252 LAKESHORE DR, NEW ORLEANS, LA 70124-2433
- **Practice address phone:** (504) 780-1702
- **Practice address fax:** (504) 780-1705
- **Mailing address:** 2901 N I 10 SERVICE RD E, STE 300, METAIRIE, LA 70002-6137
- **Mailing address phone:** (504) 780-1702
- **Mailing address fax:** (504) 780-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTT.200534 | LA | — |
| 225X00000X | Occupational Therapist | OTT.Z11942 | LA | Yes |

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 04/14/2016