Provider Demographics
NPI:1780016865
Name:ROBICHAUX, STEPHANIE S (OT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:S
Last Name:ROBICHAUX
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3912 PARLIAMENT DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3015
Mailing Address - Country:US
Mailing Address - Phone:318-487-0211
Mailing Address - Fax:318-445-6697
Practice Address - Street 1:3912 PARLIAMENT DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3015
Practice Address - Country:US
Practice Address - Phone:318-487-0211
Practice Address - Fax:318-445-6697
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTTZ11192225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist