IndividualActive
Constance Hall, COTA
NPI 1720213614 · Occupational Therapy Assistant · Vivian, LA
Provider details
- NPI number
- 1720213614
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA.200098 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
912 South Pecan St
Vivian Healthcare Center
Vivian, LA 71082
Phone: (318) 375-5859
Approximate (ZIP-level) locationGet directions
Mailing address
5220 Highland Rd
Richwood, LA 71202-3096
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2009-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.