Individual
TRACI WINBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
208 W MCNEESE ST, LAKE CHARLES, LA 70605-5638
(337) 475-1053
Mailing address
1322 ELTON RD STE I, JENNINGS, LA 70546-4100
(337) 824-5488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324618
LA
Other
Enumeration date
02/10/2021
Last updated
12/08/2023
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