Provider Demographics
NPI:1790004828
Name:DOELL, PATRICIA T (LOTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:T
Last Name:DOELL
Suffix:
Gender:F
Credentials:LOTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 KINGMAN ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6672
Mailing Address - Country:US
Mailing Address - Phone:504-378-1811
Mailing Address - Fax:504-378-1831
Practice Address - Street 1:3017 KINGMAN ST.
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006
Practice Address - Country:US
Practice Address - Phone:504-378-1811
Practice Address - Fax:504-378-1831
Is Sole Proprietor?:No
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10633225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist