Individual
MR. MARK T CHERALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, LOTR
Contact information
Practice address
7936 OFFICE PARK BLVD, SUITE B, BATON ROUGE, LA 70809
(225) 201-0002
(225) 201-0040
Mailing address
7936 OFFICE PARK BLVD, SUITE B, BATON ROUGE, LA 70809
(225) 201-0002
(225) 201-0040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06302
LA
225X00000X
Occupational Therapist
Primary
OTTZ12348
LA
Other
Enumeration date
07/09/2006
Last updated
08/06/2013
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