Healthcare Provider Details

I. General information

NPI: 1023348190
Provider Name (Legal Business Name): NANCY PIERSON REES OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 WINTERBERRY DR
COVINGTON LA
70433-5048
US

IV. Provider business mailing address

706 WINTERBERRY DR
COVINGTON LA
70433-5048
US

V. Phone/Fax

Practice location:
  • Phone: 985-327-5082
  • Fax: 985-635-6948
Mailing address:
  • Phone: 985-327-5082
  • Fax: 985-635-6948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: