Individual
ANGELA P SOILEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1322 ELTON RD, SUITE I, JENNINGS, LA 70546-4100
(337) 824-5488
(337) 824-5494
Mailing address
319 RULAND ST, JENNINGS, LA 70546-5953
(337) 616-8264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10345
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z10345
OT LICENSE NUMBER
LA
Enumeration date
02/23/2008
Last updated
02/23/2008
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