| NPI | 1003345927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BOLTON LEMOINE Owner 318-600-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 200-167) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-21 |