Individual
MR. JOE F BIENVENU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
101 ISADORE ST, NATCHITOCHES, LA 71457-5747
(318) 238-2820
(318) 238-2811
Mailing address
101 ISADORE ST, NATCHITOCHES, LA 71457-5747
(318) 238-2820
(318) 238-2811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTT.Z10610
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
10/21/2008
Last updated
10/21/2008
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