Organization
THERAPEUTIC LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY DORRIS DOMIANO MOT, LOTR (OWNER)
(504) 565-7300
Entity
Organization
Contact information
Practice address
3329 METAIRIE RD, METAIRIE, LA 70001-5215
(504) 565-7300
Mailing address
3329 METAIRIE RD, METAIRIE, LA 70001-5215
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
01/10/2019
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