Organization Name: | COMPREHENSIVE BALANCE CENTER LLC |
NPI Number: | 1073560595 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT DESORMEAUX (OCCUPATIONAL THERAPIST) |
Mailing Address: | 121 Tivoli St Abbeville |
State: | LA US |
Postal Code: | 705105150 |
Phone Number: | 3376529530 |
Fax Number: | 3372898970 |
NPI Enumeration Date: | 05/29/2006 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OTT.Z11169 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |