Individual
ANIKA DUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
13343 WEST MAIN STREET, LAROSE, LA 70373
(985) 798-7557
Mailing address
PO BOX 159, LAROSE, LA 70373-0159
(985) 798-7557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTTZ12390
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310638
—
LA
Enumeration date
04/20/2007
Last updated
07/09/2007
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