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Organization
PEDIATRIC THERAPY AND LEARNING CENTER, LLC
Active
Organization
PEDIATRIC THERAPY AND LEARNING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA LEGOULLON (CLINICAL DIRECTOR)
(337) 322-3214
Entity
Organization
Contact information
Practice address
108 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 504-4244
(337) 706-7612
Mailing address
108 ENERGY PKWY, LAFAYETTE, LA 70508-3818
(337) 504-4244
(337) 706-7612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7402
LA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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