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Contact Information

1720 PEDIATRIC THERAPY
120 MUSCADINE LANE
LAFAYETTE, LA70508
 Phone: 214-729-6560
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for 1720 PEDIATRIC THERAPY

NPI # 1770314403
LBN Legal business name 1720 PEDIATRIC THERAPY
Authorized official SETH HILBURN - (OWNER-OCCUPATIONAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2024
Last updated 12/17/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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