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1790627065 NPI number — CASSIDY BLAIR ARDOIN-BARNETT OTD, OTR/L

NPI Number: 1790627065
Health Care Provider/Practitioner: CASSIDY BLAIR ARDOIN-BARNETT OTD, OTR/L

Information about “1790627065” NPI (CASSIDY BLAIR ARDOIN-BARNETT OTD, OTR/L) exists in 1790627065 in HTML format HTML  |  1790627065 in plain Text format TXT  |  1790627065 in PDF (Portable Document Format) PDF  |  1790627065 in an XML format XML  formats.

NPI Number : 1790627065 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790627065",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ARDOIN-BARNETT",
    "FirstName": "CASSIDY",
    "MiddleName": "BLAIR",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OTD, OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4814 DESOTO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE CHARLES",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70607-6304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "337-244-6599",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4211 LAKE ST STE 20",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE CHARLES",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70605-5001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "337-270-2424",
    "PracticeLocationAddressFaxNumber": "337-735-7815",
    "EnumerationDate": "04/07/2026",
    "LastUpdateDate": "04/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "350716",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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