Provider Demographics
NPI:1568579035
Name:ANN TUBRE, LOTR LLC
Entity Type:Organization
Organization Name:ANN TUBRE, LOTR LLC
Other - Org Name:BELIEVE AND ACHIEVE THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:318-381-8520
Mailing Address - Street 1:205 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5305
Mailing Address - Country:US
Mailing Address - Phone:318-381-8520
Mailing Address - Fax:888-616-5693
Practice Address - Street 1:205 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5305
Practice Address - Country:US
Practice Address - Phone:318-381-8520
Practice Address - Fax:888-616-5693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10523225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty