Rachel Antley, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Ruston, LA

NPI 1831954445 · NPPES record last updated Feb 14, 2024

Key facts

NPI
1831954445
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
304634 (LA)
Practice address
410 S Farmerville St
Ruston, LA 71270-4655
Phone
(318) 255-1430
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

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
304634LAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 304634 LA Yes

Addresses

Primary practice location

410 S Farmerville St
Ruston, LA 71270-4655

Mailing address

106 Tes Dr
Choudrant, LA 71227-3197
Phone (318) 278-7907

Other providers in Ruston, LA

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

Sources for this page

Verify at the official NPI Registry.