Healthcare Provider Details

I. General information

NPI: 1255244778
Provider Name (Legal Business Name): STEPHANIE TRAINOR OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 GAUSE BLVD STE 107&108
SLIDELL LA
70458-3000
US

IV. Provider business mailing address

1620 HIGHWAY 11 N STE C
PICAYUNE MS
39466-2070
US

V. Phone/Fax

Practice location:
  • Phone: 985-201-7032
  • Fax: 985-307-4050
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number354372
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: