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NPI Code Detail

MEDICARE: MIKAELA DENNIS

MEDICARE:   MIKAELA  DENNIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1053254557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAELA DENNIS
Provider Business Mailing Address
First Line : 1656 MAIN ST
Second Line :
City : LA PLACE
State : LA
Zip : 70068-5718
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15704 MEDICAL ARTS DR
Second Line :
City : HAMMOND
State : LA
Zip : 70403-1446
Country : US
Telephone Number : 985-542-0110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ MIKAELA DENNIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.