NPI | 1114375821 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH DELOACH Occupational Therapist/Owner 337-322-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA Z12266) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA 300092) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2017-08-24 |