Individual
PROF. REGINA CHAMPAGNE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1307 OLD JEANERETTE RD, NEW IBERIA, LA 70563-5800
(337) 367-3331
(337) 367-6494
Mailing address
1307 OLD JEANERETTE RD, NEW IBERIA, LA 70563-5800
(337) 367-3331
(337) 367-6494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12106
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z12106
OT LA LICENSE
LA
Enumeration date
07/07/2006
Last updated
07/08/2007
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