Doctor Name: | KIMBERLY PAEDAE COTHRAN |
NPI Number: | 1740583202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | OTT.200314 |
Business Practice Address: | 3700 Rue Nadine New Orleans, LA - 701315439 |
Business Phone Number: | 5044210768 |
Business Fax Number: | |
Mailing Address: | 3700 Rue Nadine, NEW ORLEANS |
State: | LA |
Postal Code: | 701315439 |
Phone Number: | 5044210768 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2010 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OTT.200314 |
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. |