Healthcare Provider Details

I. General information

NPI: 1316887888
Provider Name (Legal Business Name): VICTORIA TERMINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

452 SEYMORE LN
LULING LA
70070-4318
US

IV. Provider business mailing address

452 SEYMORE LN
LULING LA
70070-4318
US

V. Phone/Fax

Practice location:
  • Phone: 504-343-1993
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number337428
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: