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Organization
SASSAFRAS THERAPY LLC
Active
Organization
SASSAFRAS THERAPY LLC
Active
Other names
Sassafras Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GRISTINA MS, LOTR (DIRECTOR, OCCUPATIONAL THERAPIST)
(985) 869-3650
Entity
Organization
Contact information
Practice address
1350 PARK DR STE B, MANDEVILLE, LA 70471-3205
(985) 869-3650
Mailing address
1350 PARK DR STE B, MANDEVILLE, LA 70471-3205
(985) 869-3650
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/06/2022
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