IndividualActive
Kenneth Dean, COTA/L
NPI 1184188435 · Gerontology Occupational Therapist · Shreveport, LA
Provider details
- NPI number
- 1184188435
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 214817 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8924 Bayonne Dr
Shreveport, LA 71118-2033
Phone: (318) 294-1952
Approximate (ZIP-level) locationGet directions
Mailing address
127 W Broad St
Lake Charles, LA 70601-4393
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2019-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.