Provider Demographics
NPI:1841464476
Name:BARRETT, TOMMY MICHAEL JR (LOTR)
Entity type:Individual
Prefix:MR
First Name:TOMMY
Middle Name:MICHAEL
Last Name:BARRETT
Suffix:JR
Gender:M
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4327 GENOA RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-2666
Mailing Address - Country:US
Mailing Address - Phone:504-232-3878
Mailing Address - Fax:
Practice Address - Street 1:4327 GENOA RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70129-2666
Practice Address - Country:US
Practice Address - Phone:504-232-3878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ12167225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist