Provider Demographics
NPI:1629954755
Name:MAHLER, ALBERT JOSEPH JR (LOTR)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:JOSEPH
Last Name:MAHLER
Suffix:JR
Gender:M
Credentials:LOTR
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:JOSEPH
Other - Last Name:MAHLER
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:LOTR
Mailing Address - Street 1:23251 LOUISE RD
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-3082
Mailing Address - Country:US
Mailing Address - Phone:225-206-5551
Mailing Address - Fax:225-206-5551
Practice Address - Street 1:23251 LOUISE RD
Practice Address - Street 2:
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-3082
Practice Address - Country:US
Practice Address - Phone:225-206-5551
Practice Address - Fax:225-206-5551
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z12296225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty