Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OTT.Z11419 | LA |
N | 2251E1200X | Ergonomics | OTT.Z11419 | LA |
N | 225XE1200X | Ergonomics | OTT.Z11419 | LA |
N | 225XH1200X | Occupational Therapist - Hand | OTT.Z11419 | LA |
Y | 2251H1300X | Human Factors | OTT.Z11419 | LA |
Y | 225XH1300X | Human Factors | OTT.Z11419 | LA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTT.Z11419 | LA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OTT.Z11419 | LA |
N | 225XR0403X | Driving and Community Mobility | OTT.Z11419 | LA |
NPI | 1033301353 |
---|---|
Provider Name | Elizebette Ceronio |
First Address | Alexandria, LA 71301-2823 |
Second Address | Alexandria, LA 71301-2823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 10/08/2007 |