Mika Shane Doucet OT

NPI 1679736102 - Occupational Therapist - 225X00000X

NPI Details
NPI 1679736102
Gender Female
Enumeration Date 07/03/2008
Last Updated 01/14/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
LAKE CHARLES LA, 70601-0400, US
Phone (337) 478-5880
Business Location
215 2ND ST
JENNINGS LA, 70546-5313, US
Phone (337) 370-1708
Taxonomy Code 225X00000X
License State Louisiana
License Number OTT-200151
Remove 1679736102 NPI Number

According to our database, Ms. Mika Shane Doucet OT NPI is 1679736102, taxonomy code is 225X00000X and license number is OTT-200151, license state is located at Louisiana. Mika Shane Doucet OT physically located at 1717 E Prien Lake Rd, Lake Charles LA, 70601-0400. NPI Number Mika Shane Doucet OT has the Individual type.

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1679736102 NPI number is provided on an as is basis without warranty of any kind. 1679736102 is maintained by the National Plan & Provider Enumeration System. The contents of Mika Shane Doucet OT are for informational purposes only.