Individual
TATIANA SASHA CALDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
Mailing address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
349431
OR
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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