| NPI | 1851687198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE MENARD Manager 985-294-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA OTT.Z12153) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 4981) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-10-07 |