Provider Demographics
NPI:1699137885
Name:CALHOUN, LOUISE ROSE (OTR/L)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:ROSE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:ROSE
Other - Last Name:BOBBITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 WOODSON WAY
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-4153
Mailing Address - Country:US
Mailing Address - Phone:707-373-6022
Mailing Address - Fax:
Practice Address - Street 1:207 WOODSON WAY
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-4153
Practice Address - Country:US
Practice Address - Phone:707-373-6022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13745225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics