DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES DAI-TRIEU CAO, RKT

Active Sole Proprietor

Occupational Therapist · SHREVEPORT, LA

Registration Details

NPI Number
1144646175
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2014 (12.108148224727 yrs)
Last Updated
Mar 14, 2014
License
1817 (IL)
Sole Proprietor
Yes

Practice Information

Address
510 E STONER AVE
SHREVEPORT, LA, 711014243
Browse LA providers · Browse ZIP 71101
Phone
3182218411
Primary Specialty
Occupational Therapist
226300000X

Other Occupational Therapist Providers in SHREVEPORT, LA

Name Credential NPI
MR. RONALD EUGENE GROSSI KT/CEP 1083660484
JOSHUA O YARBROUGH RKT 1336188051
MR. JAMES FRED SULLIVAN RKT CEP 1649384983
MR. RUSSELL BARMER RKT 1528400884
MR. JEFFREY T FLOYD 1710314356
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.