Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics | Z10798 | LA |
NPI | 1740465921 |
---|---|
Provider Name | Mrs. Mary Jennifer Santoro |
First Address | Baton Rouge, LA 70816-1937 |
Second Address | Baton Rouge, LA 70816-1937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2008 |
Last Update Date | 07/01/2008 |