Individual
HOA LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
37283 SWAMP RD STE 501, PRAIRIEVILLE, LA 70769-3329
(225) 744-1717
Mailing address
12482 PLANTATION CREEK DR, GEISMAR, LA 70734-3279
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200208
LA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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