Provider Demographics
NPI:1831225457
Name:PELTIER, ANNE (OT)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:PELTIER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 S MORGAN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-4951
Mailing Address - Country:US
Mailing Address - Phone:337-252-7449
Mailing Address - Fax:337-330-2984
Practice Address - Street 1:705 S. MORGAN AVE STE. A
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-7211
Practice Address - Country:US
Practice Address - Phone:337-252-7449
Practice Address - Fax:337-330-2984
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTTZ11236225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C859C960Medicare ID - Type Unspecified