NPI 1073200663

Gerald Jules Declouet, LOTR

Practitioner Occupational Therapist Lake Charles, LA

Practice location

Address: 4190 Gerstner Memorial Blvd, Lake Charles, LA 70607-3804
Phone: (337) 240-9730
Mailing address: 1308 Jefferson Dr, Lake Charles, LA 70605-5540

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTT.Z11817 (LA)

Other Occupational Therapist providers in Louisiana →

Registry record

NPI: 1073200663
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2023
Record last updated: 24 Apr 2023

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.