Pediatric Therapy of Louisiana
NPI #1629332721 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1629332721
- Entity Type
- Organization
- Organization Name
- Pediatric Therapy of Louisiana
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 3, 2012
- Last Updated
- Jul 3, 2012
Practice Location
- Address
- 4106 MAID STONE DR
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605-4030
- Phone
- (337) 540-1861
Authorized Official
- Name
- MS. ALISA TRAHAN, M.A., CCC-SLP
- Title
- OWNER
- Phone
- (337) 540-1861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
| Speech-Language Pathologist |
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