Organization
BIANCHINI- BRENNAN TLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J BIANCHINI PH.D (MANAGER)
(504) 780-1702
Entity
Organization
Contact information
Practice address
7252 LAKESHORE DR, NEW ORLEANS, LA 70124-2433
(504) 780-1702
(504) 780-1705
Mailing address
2901 N I 10 SERVICE RD E, STE 300, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT.200534
LA
225X00000X
Occupational Therapist
Primary
OTT.Z11942
LA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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