Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 305314 | LA |
NPI | 1053925719 |
---|---|
Provider Name | Mr. Jeremy Toepfer |
First Address | New Orleans, LA 70122-2715 |
Second Address | New Orleans, LA 70119-6535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2020 |
Last Update Date | 01/09/2020 |