Healthcare Provider Details

I. General information

NPI: 1538042312
Provider Name (Legal Business Name): ISABELLA HOTARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9501 GRANT ST
NEW ORLEANS LA
70127-4256
US

IV. Provider business mailing address

6800 GENERAL HAIG ST
NEW ORLEANS LA
70124-4029
US

V. Phone/Fax

Practice location:
  • Phone: 504-367-3307
  • Fax:
Mailing address:
  • Phone: 504-717-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number346580
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: