Individual
STACY MARIE GHANAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508
(337) 235-8007
(337) 235-8007
Mailing address
108 RUE LOUIS XIV, LAFAYETTE, LA 70508
(337) 235-8007
(337) 235-8008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3041
AR
Other
Enumeration date
04/07/2008
Last updated
04/01/2015
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