Individual
TANYA PUNDSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 EARHART BLVD, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Mailing address
8300 EARHART BLVD, NEW ORLEANS, LA 70118-4428
(504) 866-6990
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
322155
LA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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