Provider Demographics
NPI:1073820494
Name:HILLER, ALICE (LOTR)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:
Last Name:HILLER
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:MS
Other - First Name:ALICE
Other - Middle Name:
Other - Last Name:CURLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:6311 MCKENNA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125
Mailing Address - Country:US
Mailing Address - Phone:401-339-2251
Mailing Address - Fax:
Practice Address - Street 1:6311 MCKENNA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125
Practice Address - Country:US
Practice Address - Phone:401-339-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200722225X00000X
NY015541-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics