Healthcare Provider Details
I. General information
NPI: 1033725791
Provider Name (Legal Business Name): SKYLLAR BURKE SONNIER OTR/L, MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/18/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6707 SUGAR OAKS RD
NEW IBERIA LA
70563-0095
US
IV. Provider business mailing address
6707 SUGAR OAKS RD
NEW IBERIA LA
70563-0095
US
V. Phone/Fax
- Phone: 337-321-1379
- Fax:
- Phone: 337-321-1379
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | 324296 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: