Colleen Gray White, LOTR
Individual provider Active NPI Occupational Therapist · Patterson, LA
NPI 1457517237 · NPPES record last updated Jul 31, 2008
Key facts
- NPI
- 1457517237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- Z10870 (LA)
- Practice address
- 910 Lia St
Patterson, LA 70392-4220 - Phone
- (985) 395-4563
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|
| Z10870 | LA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Podiatry Care PLLC | Past | Accepting new patients | |
| Aria Eye Care, LLC | Past | Accepting new patients | |
| Pediatouch Therapy Solutions LLC | Past | Accepting new patients | |
| Comprehensive Rehabilitation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Z10870 | LA | Yes |
Addresses
Primary practice location
910 Lia St
Patterson, LA 70392-4220
Mailing address
306 Charlotte Dr
Patterson, LA 70392-4148
Phone (985) 714-0923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z10870 | Other | LA | OCCUPATIONAL THERAPY LICENSE NUMBER |
Other names
- Ms. Colleen Celeste Gray
Other providers in Patterson, LA
- Gayla Reed
- Saints Homecare, LLC
- Serenity Square of Bayou City LLC
- Six Point Consulting LLC
- Valerie Vining Webster
All providers in Patterson, 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 Jul 31, 2008. 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.