Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OTT.Z12477 | LA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OTT.Z12477 | LA |
NPI | 1104144872 |
---|---|
Provider Name | Ms. Wendy Mcgehee |
First Address | Youngsville, LA 70592-5779 |
Second Address | Youngsville, LA 70592-5779 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 03/05/2018 |