Individual
MRS. FAITH CLARIN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT200154
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTT.200154
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
09/09/2009
Last updated
04/10/2018
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