NPI 1164957460

Comprehensive Rehabilitation

Organisation Early Intervention Provider Agency Patterson, LA

Practice location

Address: 306 Charlotte Dr, Patterson, LA 70392-4148
Phone: (985) 714-0923

Authorised official

Name: Colleen Gray White
Title: Occupational Therapist
Phone: (985) 714-0923

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence Z10870 (LA)

Other Early Intervention Provider Agency providers in Louisiana →

Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X Licence 4720 (LA)

Registry record

NPI: 1164957460
Entity type: Organization
NPI issued: 24 Apr 2017
Record last updated: 24 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.