Organization
ST NICHOLAS PEDIATRIC EVAUATIONS AND THERAPY SERVICES LLC
Active
Organization
ST NICHOLAS PEDIATRIC EVAUATIONS AND THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R HESSON OTR/L (OCCUPATIONAL THERAPIST/ OWNER)
(985) 502-8853
Entity
Organization
Contact information
Practice address
109 CONSTELLATION DR, SLIDELL, LA 70458-9029
(985) 502-8853
(985) 288-4572
Mailing address
109 CONSTELLATION DR, SLIDELL, LA 70458-9029
(985) 502-8853
(985) 288-4572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1528
MS
225XP0200X
Pediatric Occupational Therapist
Primary
OT1528
MS
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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