Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | Z10183 | LA |
N | 225XH1200X | Occupational Therapist - Hand | Z10183 | LA |
NPI | 1144261421 |
---|---|
Provider Name | Ms. Claudia Laborde |
First Address | Lafayette, LA 70508-7151 |
Second Address | Lafayette, LA 70508-7151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |