Denise L Gravois, OTR/L, CHT
Specialist in Mandeville, LA. Individual provider (NPI-1).
NPI number1366400616
StatusActive
Last updated in NPPESMay 15, 2013
Details
- NPI
- 1366400616
- Entity type
- Individual (NPI-1)
- Name
- Denise L Gravois
- Credential
- OTR/L, CHT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2006
- Last updated
- May 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | OT 04292 | OH | Yes |
| 225X00000X | Occupational Therapist | OT 004292 | LA |
Practice location
594 Asbury DrSte A
Mandeville, LA 70471-4101
Phone 985-674-4170 · Fax 985-674-4172
Mailing address
594 Asbury DrSte A
Mandeville, LA 70471-4101
Phone 985-674-4170 · Fax 985-674-4172
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