Individual
MELISSA L DEVILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
535 W ROOSEVELT ST, BATON ROUGE, LA 70802-7844
(225) 343-8405
Mailing address
535 W ROOSEVELT ST, BATON ROUGE, LA 70802-7844
(225) 343-8405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
LAZ11087
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300209
—
LA
Enumeration date
10/10/2008
Last updated
05/21/2013
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