| NPI | 1457373045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE MARIE ANCAR Program Director 985-643-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA Z11986) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 4761) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-08-22 |