Individual
MS. GRETA GREMILLION BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
7406 HIGHWAY 1 STE 102, MANSURA, LA 71350-4230
(318) 240-7680
(318) 240-7681
Mailing address
PO BOX 849, JENNINGS, LA 70546-0849
(337) 824-8287
(337) 824-8290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
200388
LA
225X00000X
Occupational Therapist
Primary
OTT.200388
LA
Other
Enumeration date
06/30/2010
Last updated
05/17/2023
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