MRS. Tanya Cannon Rachal, LOT
NPI #1093895013 in Port Allen, Louisiana
Provider Information
- NPI Number
- 1093895013
- Entity Type
- Individual
- Name
- MRS. Tanya Cannon Rachal, LOT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- LOT
- Enumeration Date
- Oct 16, 2006
- Last Updated
- May 11, 2021
Practice Location
- Address
- 3761 ROSEDALE RD
- City
- Port Allen
- State
- Louisiana
- ZIP Code
- 70767-4305
- Phone
- (225) 603-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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