Organization
PEDIATRIC THERAPY AND LEARNING CENTER OF THE NORTHSHORE
Active
Organization
PEDIATRIC THERAPY AND LEARNING CENTER OF THE NORTHSHORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ROBERTSON (OWNER)
(504) 930-4476
Entity
Organization
Contact information
Practice address
2033 N HWY 190, SUITE 10A, COVINGTON, LA 70433-8985
(985) 590-4549
(985) 333-1217
Mailing address
2033 N HWY 190, SUITE 10A, COVINGTON, LA 70433-8985
(985) 590-4549
(985) 333-1217
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z12153
LA
235Z00000X
Speech-Language Pathologist
4981
LA
Other
Enumeration date
06/24/2011
Last updated
08/12/2025
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