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NPI Code Detail

MEDICARE: DEBORAH E BENNETT LOTR

MEDICARE: DEBORAH E BENNETT LOTR
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 TherapistZ11506LA

General Provider Information

NPI Number : 1972752244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH E BENNETT LOTR
Provider Business Mailing Address
First Line : 123 STATE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5733
Country : US
Telephone Number : 504-899-4501
Fax Number : 504-895-4162
Provider Business Practice Location Address
First Line : 123 STATE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5733
Country : US
Telephone Number : 504-899-4501
Fax Number : 504-895-4162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 09/11/2008

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Directions to “ DEBORAH E BENNETT LOTR” Practice Location

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