Provider Demographics
NPI:1023284668
Name:ROBICHAUX, DIANE CUTI (LOTR)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:CUTI
Last Name:ROBICHAUX
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 1:4 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-3202
Mailing Address - Country:US
Mailing Address - Phone:985-764-7874
Mailing Address - Fax:
Practice Address - Street 1:4 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-3202
Practice Address - Country:US
Practice Address - Phone:985-764-7874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10763225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist