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NPI Code Detail

MEDICARE: MS. AREWANDA W DOUGLAS LOTR CHT

MEDICARE:  MS. AREWANDA W DOUGLAS  LOTR CHT
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
1225XH1200XHand Occupational TherapistLZ10276LA

General Provider Information

NPI Number : 1285624783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AREWANDA W DOUGLAS LOTR CHT
Provider Business Mailing Address
First Line : 7855 HOWELL BLVD
Second Line : STE 220
City : BATON ROUGE
State : LA
Zip : 70807
Country : US
Telephone Number : 225-454-6005
Fax Number : 225-454-6018
Provider Business Practice Location Address
First Line : 7855 HOWELL BLVD
Second Line : STE 220
City : BATON ROUGE
State : LA
Zip : 70807
Country : US
Telephone Number : 225-454-6005
Fax Number : 225-454-6018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 07/18/2007

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Directions to “ MS. AREWANDA W DOUGLAS LOTR CHT” Practice Location

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