Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH CHARLES DEAN, COTA/L
Active Sole ProprietorKENNETH CHARLES DEAN, COTA/L is a Gerontology Occupational Therapist healthcare provider located in SHREVEPORT, Louisiana. NPI 1184188435 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1184188435
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2019 (7.5013260921227 yrs)
- Last Updated
- Jan 30, 2019
- License
-
214817 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8924 BAYONNE DRSHREVEPORT, LA, 711182033Browse LA providers · Browse ZIP 71118
- Phone
- 3182941952
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
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.