Provider Demographics
NPI:1447730783
Name:ARRANT, KATHRYN JONANN (OT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JONANN
Last Name:ARRANT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 HUDSON LN STE 7
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-6054
Mailing Address - Country:US
Mailing Address - Phone:318-361-7180
Mailing Address - Fax:318-322-5118
Practice Address - Street 1:1300 HUDSON LN STE 7
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6054
Practice Address - Country:US
Practice Address - Phone:318-361-7180
Practice Address - Fax:318-322-5118
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA307806225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist