Healthcare Provider Details

I. General information

NPI: 1649218348
Provider Name (Legal Business Name): JULIE MICHELLE DUBEA LOTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 CHURCH ST STE E
ZACHARY LA
70791-3580
US

IV. Provider business mailing address

8080 BLUEBONNET BLVD STE 1000
BATON ROUGE LA
70810-7827
US

V. Phone/Fax

Practice location:
  • Phone: 225-570-2443
  • Fax: 225-570-8370
Mailing address:
  • Phone: 225-408-6633
  • Fax: 225-208-2656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberZ11041
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberZ11041
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberZ11041
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: