Provider Demographics
NPI:1982246062
Name:TUMINSKI, LEXIE BORDELON (OT)
Entity Type:Individual
Prefix:
First Name:LEXIE
Middle Name:BORDELON
Last Name:TUMINSKI
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 1:4 GREEN HILL DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-8415
Mailing Address - Country:US
Mailing Address - Phone:985-237-9225
Mailing Address - Fax:
Practice Address - Street 1:4 GREEN HILL DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-8415
Practice Address - Country:US
Practice Address - Phone:985-237-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA334789225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist