Anna Beth Deville, L-COTA

Individual provider Active NPI Occupational Therapy Assistant · Winnfield, LA

NPI 1679313373 · NPPES record last updated May 29, 2024

Key facts

NPI
1679313373
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
326184 (LA)
Practice address
305 E Court St
Winnfield, LA 71483-3212
Phone
(318) 628-3913
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
326184LAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Parish School Board Past
since Jun 2, 2024
Accepting new patients
Winn Parish School Board Past
since Jun 2, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X 326184 LA Yes

Addresses

Primary practice location

305 E Court St
Winnfield, LA 71483-3212

Mailing address

785 Fire Tower Rd
Aimwell, LA 71401-4806
Phone (318) 413-0693

Other providers in Winnfield, LA

All providers in Winnfield, LA · Occupational Therapy Assistant in Louisiana

Sources for this page

Verify at the official NPI Registry.