Organization
COMPREHENSIVE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN GRAY WHITE LOTR (OCCUPATIONAL THERAPIST)
(985) 714-0923
Entity
Organization
Contact information
Practice address
306 CHARLOTTE DR, PATTERSON, LA 70392-4148
(985) 714-0923
Mailing address
306 CHARLOTTE DR, PATTERSON, LA 70392-4148
(985) 714-0923
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
4720
LA
252Y00000X
Early Intervention Provider Agency
Primary
Z10870
LA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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