IndividualActive
Alisha Brister, OTR/L
NPI 1386196756 · Occupational Therapist · Deridder, LA
Provider details
- NPI number
- 1386196756
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTT.Z12068 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
970 Scallon Rd
Deridder, LA 70634-7436
Phone: (919) 696-0112
Approximate (ZIP-level) locationGet directions
Mailing address
970 Scallon Rd
Deridder, LA 70634-7436
Registry dates
- Enumerated
- 2016-11-01
- Last updated
- 2016-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.