Provider Demographics
NPI:1578654430
Name:BUECHE, DEBORAH D (LOTR, CHT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:D
Last Name:BUECHE
Suffix:
Gender:F
Credentials:LOTR, CHT
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:DAUTERIVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LOTR, CHT
Mailing Address - Street 1:530 SHADOWS LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6530
Mailing Address - Country:US
Mailing Address - Phone:225-231-3800
Mailing Address - Fax:225-231-3803
Practice Address - Street 1:530 SHADOWS LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6530
Practice Address - Country:US
Practice Address - Phone:225-231-3800
Practice Address - Fax:225-231-3803
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10395225XH1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand