Individual
MRS. TRACIE PERTUIT PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1805 ELLERSLIE AVE, LA PLACE, LA 70068-2707
(504) 234-9480
Mailing address
1805 ELLERSLIE AVE, LA PLACE, LA 70068-2707
(504) 234-9480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11963
LA
Other
Enumeration date
03/16/2022
Last updated
04/10/2022
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