Amanda Stokes Barker, LOTR, CLT

Individual provider Active NPI Occupational Therapist · Mandeville, LA

NPI 1083113187 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1083113187
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTT.200169 (LA)
Practice address
1903 University Dr
Mandeville, LA 70448
Phone
(985) 373-5569
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
200169LAMDOccupational Therapy Assistant
OTT.200169LAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 200169 LA
Occupational Therapist 225X00000X OTT.200169 LA Yes

Addresses

Primary practice location

1903 University Dr
Mandeville, LA 70448

Mailing address

1903 University Dr
Mandeville, LA 70448-1011
Phone (985) 373-5569

Other providers in Mandeville, LA

All providers in Mandeville, LA · Occupational Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.