Provider Demographics
NPI:1811004229
Name:MALAGARIE, LORRI E (OT)
Entity Type:Individual
Prefix:PROF
First Name:LORRI
Middle Name:E
Last Name:MALAGARIE
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 1:9029 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-2173
Mailing Address - Country:US
Mailing Address - Phone:337-892-0725
Mailing Address - Fax:337-893-6607
Practice Address - Street 1:1700 KALISTE SALOOM
Practice Address - Street 2:BUILDING 1, SUITE 100-A
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7050
Practice Address - Country:US
Practice Address - Phone:337-534-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ11969225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAZ11969OtherOT LICENSE #
LAZ11969OtherOT LICENSE #