Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OTT.200299 | LA |
NPI | 1003183799 |
---|---|
Provider Name | Grace G Gamez-Dipietro |
First Address | Metairie, LA 70011-8614 |
Second Address | New Orleans, LA 70124-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2011 |
Last Update Date | 23/11/2011 |