Healthcare Provider Details

I. General information

NPI: 1740369529
Provider Name (Legal Business Name): PAULA MORRIS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 HUDSON LN STE 7
MONROE LA
71201-6054
US

IV. Provider business mailing address

1300 HUDSON LN STE 7
MONROE LA
71201-6054
US

V. Phone/Fax

Practice location:
  • Phone: 318-361-7085
  • Fax:
Mailing address:
  • Phone: 318-322-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 1859
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: