Individual
LISA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
201 BELVIEW RD, LEESVILLE, LA 71446-2904
(337) 239-1689
Mailing address
411 EISSMAN RD APT 5, LEESVILLE, LA 71446-5484
(318) 451-4953
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z11668
LA
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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