Individual
OLIVIA WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
132 DEMANADE BLVD, LAFAYETTE, LA 70503-2508
(337) 534-8978
Mailing address
6275 ROY RD, MAURICE, LA 70555-4145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
347793
LA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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