Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OTTZ12473 | LA |
N | 225XH1200X | Occupational Therapist - Hand | OTTZ12473 | LA |
NPI | 1275632135 |
---|---|
Provider Name | Mrs. Lacie Callais Barbier |
First Address | Baton Rouge, LA 70806-8106 |
Second Address | Baton Rouge, LA 70806-8106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 22/09/2010 |