Individual
BLAIR MILIOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 HOUMA BLVD STE 300, METAIRIE, LA 70006-2930
(504) 885-0007
Mailing address
691 EVANGELINE RD, MONTZ, LA 70068-8927
(985) 652-4255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z12419
LICENSE#
LA
Enumeration date
11/03/2006
Last updated
07/08/2007
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