Ms Greta Gremillion Bordelon, LOTR | |
7406 Highway 1 Ste 102, Mansura, LA 71350-4230 | |
(318) 240-7680 | |
(318) 240-7681 |
Full Name | Ms Greta Gremillion Bordelon |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 14 Years |
Location | 7406 Highway 1 Ste 102, Mansura, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275844722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 200388 (Louisiana) | Secondary |
225X00000X | Occupational Therapist | OTT.200388 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lemoine Therapy Services Of Cenla Inc | 4789635244 | 10 |
Provider Name | Lemoine Therapy Services Of Cenla Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336242767 PECOS PAC ID: 4789635244 Enrollment ID: O20050202000579 |
Mailing Address | Practice Location Address |
---|---|
Ms Greta Gremillion Bordelon, LOTR Po Box 849, Jennings, LA 70546-0849 Ph: (337) 824-8287 | Ms Greta Gremillion Bordelon, LOTR 7406 Highway 1 Ste 102, Mansura, LA 71350-4230 Ph: (318) 240-7680 |
Sherie Soileau, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 Fax: 318-240-7681 | |
Robbi Glass, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7406 Highway 1 Ste 102, Mansura, LA 71350 Phone: 318-240-7680 Fax: 318-240-7681 | |
Katlyn Turner, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7408 La-1, Mansura, LA 71350 Phone: 318-964-2198 |