Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | Z10969 | LA |
N | 225XE0001X | Environmental Modification | Z10969 | LA |
N | 2251E1200X | Ergonomics | Z10969 | LA |
N | 225XE1200X | Ergonomics | Z10969 | LA |
N | 225XF0002X | Feeding, Eating & Swallowing | Z10969 | LA |
N | 225XG0600X | Occupational Therapist - Gerontology | Z10969 | LA |
N | 225XH1200X | Occupational Therapist - Hand | Z10969 | LA |
N | 2251H1300X | Human Factors | Z10969 | LA |
N | 225XH1300X | Human Factors | Z10969 | LA |
N | 225XL0004X | Low Vision | Z10969 | LA |
N | 225XM0800X | Mental Health | Z10969 | LA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | Z10969 | LA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | Z10969 | LA |
N | 225XR0403X | Driving and Community Mobility | Z10969 | LA |
NPI | 1811252562 |
---|---|
Provider Name | Mrs. Lisa Ebeyer Millican |
First Address | New Orleans, LA 70124-2745 |
Second Address | New Orleans, LA 70124-2745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2012 |
Last Update Date | 09/07/2012 |