Ellen Moosa, LOTR
Individual provider Active NPI Occupational Therapist · Lafayette, LA
NPI 1033690995 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1033690995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 310571 (LA)
- Practice address
- 108 Energy Pkwy
Lafayette, LA 70508-3818 - Phone
- (337) 504-4244
- Fax
- (337) 706-7612
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310571 | LA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 310571 | LA | Yes |
Addresses
Primary practice location
108 Energy Pkwy
Lafayette, LA 70508-3818
Mailing address
108 Energy Pkwy
Lafayette, LA 70508-3818
Phone (337) 504-4244
Other providers in Lafayette, LA
- Patrick Devincent Moore
- Payton Anne Moore
- Shawntel Marie Moore
- Shelley Moore
- Taylor Moore
- Saul Morales Valero
- Jazlynn Morales
- Tiffani Morales
- Lateshia Moran
- Lore-Lyndsey Hargrave Moran
All providers in Lafayette, LA · Occupational Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.