Individual
MRS. FAITH CLARIN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
330 FALCONER DR STE D-F, COVINGTON, LA 70433-8210
(985) 805-2555
(985) 400-5303
Mailing address
PO BOX 1609, CHALMETTE, LA 70044-1609
(985) 805-2555
(985) 400-5303
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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