Provider Demographics
NPI:1033291679
Name:PIGULSKI, LE ANN (LOT)
Entity Type:Individual
Prefix:MS
First Name:LE ANN
Middle Name:
Last Name:PIGULSKI
Suffix:
Gender:F
Credentials:LOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6138 JUMANO LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1947
Mailing Address - Country:US
Mailing Address - Phone:512-288-7727
Mailing Address - Fax:
Practice Address - Street 1:3109 W SLAUGHTER LN
Practice Address - Street 2:BLDG B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5710
Practice Address - Country:US
Practice Address - Phone:512-233-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111255225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics