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Organization

NORTHSHORE THERAPY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA VARNADO MILLER MOT, LOTR (PRESIDENT)
(985) 643-6880
Entity
Organization

Contact information

Practice address
2790 EAST GAUSE BOULEVARD, SUITE 2, SLIDELL, LA 70461
(985) 643-6880
(985) 643-8104
Mailing address
2790 EAST GAUSE BOULEVARD, SUITE 2, SLIDELL, LA 70461
(985) 643-6880
(985) 643-8104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT.200062
LA
225XH1200X
Hand Occupational Therapist
OTT.200062
LA
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OTT.200062
LA

Other

Enumeration date
10/03/2006
Last updated
09/11/2025
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