| NPI | 1215540521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERINA LEBLANC Insurance Coordinator 225-292-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |