Susan J Yancey, LOTR
Individual provider Active NPI Occupational Therapist · Folsom, LA
NPI 1780908996 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1780908996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTT.Z15591 (LA)
- Practice address
- 16191 Highway 40
Folsom, LA 70437-5703 - Phone
- (985) 796-3677
- NPI assigned
- Mar 16, 2010
- 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.Z15591 | LA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTT.Z15591 | LA | Yes |
Addresses
Primary practice location
16191 Highway 40
Folsom, LA 70437-5703
Mailing address
81174 Jim Loyd Rd
Folsom, LA 70437-7008
Phone (985) 796-0364
Other providers in Folsom, LA
All providers in Folsom, 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 Mar 16, 2010. 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.