Individual
DANIELLE NESTER FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
208 W MCNEESE ST, LAKE CHARLES, LA 70605-5638
(337) 475-1053
(337) 475-1048
Mailing address
208 W MCNEESE ST, LAKE CHARLES, LA 70605-5638
(337) 475-1053
(337) 475-1048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
06/09/2017
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