Individual
AMIE ANGELLE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 889-3106
Mailing address
217 SUMMERLAND KEY LN, LAFAYETTE, LA 70508-5152
(214) 929-9495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111421
TX
225XH1200X
Hand Occupational Therapist
Primary
OTT.200364
LA
Other
Enumeration date
01/23/2007
Last updated
03/17/2018
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