Cindy Phu, MOT LOTR
Individual provider Active NPI Specialist · New Orleans, LA
NPI 1609207463 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1609207463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OTT.200400 (LA)
- Practice address
- 5761 Louis Prima Dr W
New Orleans, LA 70128-2804 - Phone
- (504) 402-9575
- NPI assigned
- Dec 4, 2013
- 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.200400 | LA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OTT.200400 | LA | Yes |
Addresses
Primary practice location
5761 Louis Prima Dr W
New Orleans, LA 70128-2804
Mailing address
5761 Louis Prima Dr W
New Orleans, LA 70128-2804
Phone (504) 402-9575
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. 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.