Provider Demographics
NPI:1407024581
Name:DEHART, DEBRA WHEELER (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:WHEELER
Last Name:DEHART
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 WESS LILY RD
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:LA
Mailing Address - Zip Code:71222-5225
Mailing Address - Country:US
Mailing Address - Phone:314-348-1082
Mailing Address - Fax:
Practice Address - Street 1:199 WESS LILY RD
Practice Address - Street 2:
Practice Address - City:BERNICE
Practice Address - State:LA
Practice Address - Zip Code:71222-5225
Practice Address - Country:US
Practice Address - Phone:314-348-1082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTTZ10379225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist