NPI 1215200191

Tracie Pendarvis

Practitioner Developmental Therapist Bossier City, LA

Practice location

Address: 5604 Pampus Ln, Bossier City, LA 71112-4951
Phone: (318) 458-1834

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Louisiana →

Registry record

NPI: 1215200191
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2012
Record last updated: 22 Feb 2012

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.