Amy R Alfonso, LOTR
Individual provider Active NPI Occupational Therapist · Mandeville, LA
NPI 1407082233 · NPPES record last updated Jun 8, 2009
Key facts
- NPI
- 1407082233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTT Z12081 (LA)
- Practice address
- 665 Plantation Blvd
Mandeville, LA 70448-7500 - Phone
- (985) 624-4934
- NPI assigned
- Jun 8, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTT Z12081 | LA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT Z12081 | LA | Yes |
Addresses
Primary practice location
665 Plantation Blvd
Mandeville, LA 70448-7500
Mailing address
665 Plantation Blvd
Mandeville, LA 70448-7500
Phone (985) 624-4934
Other providers in Mandeville, LA
- Israr Ahmed
- Gabriella Aicard
- Hilary Albarado
- Albertsons LLC
- Brigette Aldridge
- Ryan Alfred
- Isfana J Ali
- Ann Vuncannon Allen
- Brandon Allison
- Conner Patrick Allison
All providers in Mandeville, 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 Jun 8, 2009. 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.