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NPI Code Detail

MEDICARE: BRITTANY MARIE SEGALLA

MEDICARE: BRITTANY MARIE SEGALLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1316730286
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY MARIE SEGALLA
Provider Business Mailing Address
First Line : 15537 MALVERN HILL AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70817-2106
Country : US
Telephone Number : 225-505-4458
Fax Number :
Provider Business Practice Location Address
First Line : 8316 PICARDY AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3686
Country : US
Telephone Number : 225-767-5032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2025
Last Update Date : 05/23/2025

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Directions to “ BRITTANY MARIE SEGALLA ” Practice Location

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