Provider Demographics
NPI:1891087318
Name:BELSHA, SARAH ANN (LOTR)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:BELSHA
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 FORDS DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:NEWLLANO
Mailing Address - State:LA
Mailing Address - Zip Code:71461-4529
Mailing Address - Country:US
Mailing Address - Phone:337-208-4915
Mailing Address - Fax:337-238-3844
Practice Address - Street 1:1367 FORDS DAIRY RD
Practice Address - Street 2:
Practice Address - City:NEWLLANO
Practice Address - State:LA
Practice Address - Zip Code:71461-4529
Practice Address - Country:US
Practice Address - Phone:337-208-4915
Practice Address - Fax:337-238-3844
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ11891225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist