Darnell Vogt Burgess, OT

Individual provider Active NPI Occupational Therapist · Raceland, LA

NPI 1174832406 · NPPES record last updated Apr 8, 2018

Key facts

NPI
1174832406
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTT.Z11134 (LA)
Practice address
120 White Rose Dr
Raceland, LA 70394-2644
Phone
(985) 532-9662
Fax
(985) 532-3942
NPI assigned
Oct 5, 2010
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTT.Z11134 LA Yes

Addresses

Primary practice location

120 White Rose Dr
Raceland, LA 70394-2644

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other names

  • Darnell Vogt Babin Former name

Other providers in Raceland, LA

All providers in Raceland, LA · Occupational Therapist in Louisiana

Sources for this page

Verify at the official NPI Registry.