Provider Demographics
NPI:1821408162
Name:ALLEMAN, ALEX L (MOT, LOTR)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:L
Last Name:ALLEMAN
Suffix:
Gender:F
Credentials:MOT, LOTR
Other - Prefix:
Other - First Name:ALEXANDREA
Other - Middle Name:CLAIRE
Other - Last Name:LANDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 W SAINT MARY BLVD STE 514A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4699
Mailing Address - Country:US
Mailing Address - Phone:337-356-2356
Mailing Address - Fax:
Practice Address - Street 1:501 W SAINT MARY BLVD STE 514A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4699
Practice Address - Country:US
Practice Address - Phone:337-356-2356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200711225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist