Individual
REBECCA GRACE WANNAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1224 SONIAT ST, NEW ORLEANS, LA 70115-2932
(225) 888-7611
Mailing address
905 ATHANIA PKWY, METAIRIE, LA 70001-2821
(225) 888-7611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
342908
LA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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