Healthcare Provider Details

I. General information

NPI: 1356260608
Provider Name (Legal Business Name): DANA DUNG DANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 PICARDY AVE
BATON ROUGE LA
70809-3686
US

IV. Provider business mailing address

166 KINGSBROOK DR
SCHRIEVER LA
70395-3496
US

V. Phone/Fax

Practice location:
  • Phone: 985-637-1441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number346043
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: