Provider Demographics
NPI:1801330386
Name:INTEGRATIVE THERAPY SOLUTIONS
Entity type:Organization
Organization Name:INTEGRATIVE THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:E
Authorized Official - Last Name:MALAGARIE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:337-534-0235
Mailing Address - Street 1:707 CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592
Mailing Address - Country:US
Mailing Address - Phone:337-233-0322
Mailing Address - Fax:337-233-0225
Practice Address - Street 1:1700 KALISTE SALOOM
Practice Address - Street 2:BUILDING 1, SUITE 100-A
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8501
Practice Address - Country:US
Practice Address - Phone:337-534-0235
Practice Address - Fax:337-205-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z11969225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty