Individual
GIGI DANIELLE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCOTA
Contact information
Practice address
5444 HWY 2, OAK GROVE, LA 71263
(318) 669-1821
Mailing address
321 SAMPSON RD, OAK GROVE, LA 71263-8041
(318) 669-1821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.Z20328
LA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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