Individual
MRS. SUZANNE NEGROTTO BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5919 MAGAZINE ST, NEW ORLEANS, LA 70115-3220
(504) 833-1312
Mailing address
4311 S GALVEZ ST, NEW ORLEANS, LA 70125-4525
(504) 250-3118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
Z20381
LA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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