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Individual

NICOLAS BERECIARTUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 RIVER RD STE 112, JEFFERSON, LA 70121-4226
(504) 828-7696
Mailing address
101 RIVER RD STE 112, JEFFERSON, LA 70121-4226
(504) 828-7696

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
11/28/2024
Last updated
11/28/2024
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