| 1720 Pediatric Therapy | |
|
120 Muscadine Lane, Lafayette, LA 70508 | |
| (214) 729-6560 | |
| Not Available |
| Full Name | 1720 Pediatric Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 120 Muscadine Lane, Lafayette, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770314403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| 1720 Pediatric Therapy 120 Muscadine Lane, Lafayette, LA 70508 Ph: (214) 729-6560 | 1720 Pediatric Therapy 120 Muscadine Lane, Lafayette, LA 70508 Ph: (214) 729-6560 |
Brittany Hull, MOT, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Rena Dr, Lafayette, LA 70503 Phone: 337-304-6040 | |
Miss Ellen Moosa, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Energy Pkwy, Lafayette, LA 70508 Phone: 337-504-4244 Fax: 337-706-7612 | |
Skyllar Burke, MOT, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Demanade Blvd, Lafayette, LA 70503 Phone: 337-534-8978 Fax: 337-284-3040 | |
Jennifer Erin Hicks, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Rue Iberville, Lafayette, LA 70508 Phone: 337-521-7000 Fax: 337-521-7149 | |
Guy B Guidry, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 353 Doucet Rd, A-2, Lafayette, LA 70503 Phone: 337-945-6174 Fax: 337-216-7787 | |
Jessica Lane Riddle, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Energy Pkwy, Lafayette, LA 70508 Phone: 337-504-4244 | |
Allison Istre Lagasse, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Englewood Dr, Lafayette, LA 70503 Phone: 337-984-6520 |