Provider Demographics
NPI:1952799132
Name:WEEKS, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:WEEKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 EVELYN RD
Mailing Address - Street 2:NONE
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-3312
Mailing Address - Country:US
Mailing Address - Phone:318-410-1864
Mailing Address - Fax:
Practice Address - Street 1:146 EVELYN RD
Practice Address - Street 2:NONE
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-3312
Practice Address - Country:US
Practice Address - Phone:318-410-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OTT.Z10446225X00000X
LAOTT.Z10446225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics