Individual
MRS. MARIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/CHT
Contact information
Practice address
120 RUE CHAVANIAC, LAFAYETTE, LA 70508-7312
(337) 739-9753
Mailing address
120 RUE CHAVANIAC, LAFAYETTE, LA 70508-7312
(337) 739-9753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT. Z12099
LA
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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