Individual provider · Type 1 NPI

Enrico Masangkay Roque Jr., OTR

Occupational Therapist · Shreveport, LA

NPI number 1386270155 Active

Practice location

103 Pantheon Ln
Shreveport, LA 71115-4506

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTT.200779 (LA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1386270155

Enrico Masangkay Roque Jr., OTR's National Provider Identifier is 1386270155, issued on Mar 12, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 12, 2020.