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Contact Information

KENNETH C DEAN, COTA/L
8924 BAYONNE DR
SHREVEPORT, LA71118-2033
 Phone: 318-294-1952
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KENNETH C DEAN · (Male)

NPI # 1184188435
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 01/30/2019
Last updated 01/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 214817
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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