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NPI Code Detail

MEDICARE: TROY CHANNING SHOWS O.T.

MEDICARE: TROY CHANNING SHOWS O.T.
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 TherapistOTT.Z10832LA

General Provider Information

NPI Number : 1376591750
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY CHANNING SHOWS O.T.
Provider Business Mailing Address
First Line : 121 PROFESSIONAL DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5331
Country : US
Telephone Number : 318-651-2086
Fax Number : 318-387-4264
Provider Business Practice Location Address
First Line : 121 PROFESSIONAL DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5331
Country : US
Telephone Number : 318-651-2086
Fax Number : 318-387-4264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 07/28/2025

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