Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | Z12213 | LA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | Z12213 | LA |
NPI | 1831347103 |
---|---|
Provider Name | Craig Louis Toups |
First Address | Baton Rouge, LA 70808 |
Second Address | Baton Rouge, LA 70809-2769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2008 |
Last Update Date | 28/08/2008 |