Healthcare Provider Details

I. General information

NPI: 1427852417
Provider Name (Legal Business Name): ANGELE HEGGLER OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3913 HIGHWAY 14
NEW IBERIA LA
70560-9435
US

IV. Provider business mailing address

122 SAINT FABIAN DR
CARENCRO LA
70520-5577
US

V. Phone/Fax

Practice location:
  • Phone: 337-201-5905
  • Fax: 337-660-2241
Mailing address:
  • Phone: 318-344-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: