Individual
RACHEL ANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
410 S FARMERVILLE ST, RUSTON, LA 71270-4655
(318) 255-1430
Mailing address
106 TES DR, CHOUDRANT, LA 71227-3197
(318) 278-7907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
304634
LA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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