Individual
REBECCA DIEL BRAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3177 STERLINGTON RD, MONROE, LA 71203-2517
(318) 388-1989
Mailing address
12615 LAZY OAKS DR, BASTROP, LA 71220-7564
(318) 348-2331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A328
AR
224Z00000X
Occupational Therapy Assistant
Primary
OTA-Z20465
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145715721
—
AR
05
—
1730302035
—
LA
Enumeration date
04/11/2007
Last updated
06/22/2026
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