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General NPI Number Information
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NPI Number | 1831225457
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Entity Type | Individual
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Provider Name | ANNE PELTIER O.T.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 705 S. MORGAN AVE STE. A
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City | BROUSSARD
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State | LA
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Zip | 70518-7211
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Country | US
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Telephone | 337-252-7449
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Fax | 337-330-2984
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Provider Business Mailing Address
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Address Line | 705 S MORGAN AVE STE A
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City | BROUSSARD
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State | LA
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Zip | 70518-4951
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Country | US
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Telephone | 337-252-7449
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Fax | 337-330-2984
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OTTZ11236
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License Number State | LA
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