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General NPI Number Information
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NPI Number | 1114375821
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Entity Type | Organization
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Legal Business Name | DELOACH THERAPY SERVICES
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 218 RUE BEAUREGARD STE C
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City | LAFAYETTE
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State | LA
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Zip | 70508-3284
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Country | US
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Telephone | 337-322-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 132 DEMANADE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2508
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Country | US
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Telephone | 337-534-8978
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Fax | 337-284-0300
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | MRS. BETH DELOACH
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Credential | MOT, LOTR
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Telephone | 337-534-8978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 300092
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | Z12266
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License Number State | LA
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