Individual
GINA ELIZABETH DANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
564 ASHLAWN DR, HARAHAN, LA 70123-3822
(847) 927-4462
Mailing address
564 ASHLAWN DR, HARAHAN, LA 70123-3822
(847) 927-4462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200791
LA
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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