Tanil Thacker, LOTR

NPI #1215553334 in Maurepas, Louisiana

Provider Information

NPI Number
1215553334
Entity Type
Individual
Name
Tanil Thacker, LOTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
LOTR
Enumeration Date
Jun 24, 2020
Last Updated
Jun 24, 2020

Practice Location

Address
15331 BEAR ISLAND RD
ZIP Code
70449-8233
Phone
(225) 571-8033

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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Provider Name
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