IndividualActive
Baxter Deal, MPT, LOTR
NPI 1679689566 · Occupational Therapist · Jennings, LA
Provider details
- NPI number
- 1679689566
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT, LOTR
- Sex
- Male
- Sole proprietor
- No
- License
- 05284 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2002 Johnson St
Suite 100
Jennings, LA 70546-3646
Phone: (337) 824-4547
Fax: (337) 824-4548
Approximate (ZIP-level) locationGet directions
Mailing address
2002 Johnson St
Jennings, LA 70546-3640
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2016-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.