| Full Of Grace Therapy Llc | |
|
4211 Lake St Ste 20, Lake Charles, LA 70605-5001 | |
| (337) 270-2424 | |
| Not Available |
| Full Name | Full Of Grace Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 4211 Lake St Ste 20, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720702236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Rebekah R Soileau |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386296598 PECOS PAC ID: 7012243876 Enrollment ID: I20190731003023 |
| Mailing Address | Practice Location Address |
|---|---|
| Full Of Grace Therapy Llc 4211 Lake St Ste 20, Lake Charles, LA 70605-5001 Ph: (337) 270-2424 | Full Of Grace Therapy Llc 4211 Lake St Ste 20, Lake Charles, LA 70605-5001 Ph: (337) 270-2424 |
Danielle Nester Faulk, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 Fax: 337-475-1048 | |
Megan Bercier, LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-491-7590 | |
Mr. Gerald Jules Declouet Jr., LOTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4190 Gerstner Memorial Blvd, Lake Charles, LA 70607 Phone: 337-240-9730 | |
Erin Elizabeth Bradley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2519 Ryan St, Lake Charles, LA 70601 Phone: 337-491-0800 | |
Susan Helms Cart, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7280 Fax: 337-478-1323 | |
Traci Winborne, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 208 W Mcneese St, Lake Charles, LA 70605 Phone: 337-475-1053 | |
Jennifer Marie Doucet, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 845 Desoto St, Lake Charles, LA 70607 Phone: 337-764-0343 |