Individual
DR. MIGUEL ANDRES LARREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
(985) 231-6480
Mailing address
2965 GAUSE BLVD E, SLIDELL, LA 70461-4154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09356R
LA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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