Individual provider · Type 1 NPI

Caroline Bordelon Detraz

Occupational Therapist · Carencro, LA

NPI number 1598748741 Active

Practice location

204 E Saint Peter St
Carencro, LA 70520-4009

Call (337) 896-6686 Map

Fax (337) 565-6003

Mailing address

2002 Johnson St, Suite 100
Jennings, LA 70546-3640

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X2806 (SC)
Occupational Therapist Primary 225X00000XOTT.200079 (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 1598748741

Caroline Bordelon Detraz's National Provider Identifier is 1598748741, issued on Nov 22, 2005. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Carencro, LA. The record was last updated on Feb 22, 2017.