Amie Angelle Medeiros
Occupational Therapist Occupational Therapist - Hand
108 Rue Louis Xiv
Lafayette
, Louisiana 70508-5739
Amie Angelle Medeiros
Occupational Therapist Occupational Therapist - Hand
108 Rue Louis Xiv
Lafayette
, Louisiana 70508-5739
(214) 929-9495
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Amie Angelle Medeiros
- 217 Summerland Key Ln
- Lafayette, LA
- Zip : 70508-5152
- Phone : (214) 929-9495
Second Address
- Amie Angelle Medeiros
- 108 Rue Louis Xiv
- Lafayette, LA
- Zip : 70508-5739
- Phone : (337) 889-3106
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Is Amie Angelle Medeiros a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 111421 | TX |
| Y | 225XH1200X | Occupational Therapist - Hand | OTT.200364 | LA |
National Provider Identifier
| NPI | 1104970235 |
|---|---|
| Provider Name | Amie Angelle Medeiros |
| First Address | Lafayette, LA 70508-5152 |
| Second Address | Lafayette, LA 70508-5739 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2007 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.