Provider Demographics
NPI:1245863489
Name:HOWARD, SHELIA DARLENE (LOTR)
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:DARLENE
Last Name:HOWARD
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 1:5915 OLD MONROE RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71229-9003
Mailing Address - Country:US
Mailing Address - Phone:318-348-8009
Mailing Address - Fax:
Practice Address - Street 1:5915 OLD MONROE RD
Practice Address - Street 2:
Practice Address - City:COLLINSTON
Practice Address - State:LA
Practice Address - Zip Code:71229-9003
Practice Address - Country:US
Practice Address - Phone:318-348-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z11528225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist