Provider Demographics
NPI:1598249971
Name:BARCELONA, HANNAH PAIGE (LOTR)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:PAIGE
Last Name:BARCELONA
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1377
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71294-1377
Mailing Address - Country:US
Mailing Address - Phone:318-934-1969
Mailing Address - Fax:318-934-1960
Practice Address - Street 1:1800 BUCKNER ST STE C249
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4447
Practice Address - Country:US
Practice Address - Phone:318-934-1969
Practice Address - Fax:318-934-1960
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA310102225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist