Provider Demographics
NPI:1851831671
Name:SVENDSON, EMILY LEWIS (MOT, LOTR)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:LEWIS
Last Name:SVENDSON
Suffix:
Gender:F
Credentials:MOT, LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 DOVER DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5053
Mailing Address - Country:US
Mailing Address - Phone:337-207-6023
Mailing Address - Fax:
Practice Address - Street 1:304 LA RUE FRANCE STE 108
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3136
Practice Address - Country:US
Practice Address - Phone:337-242-7931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist