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Individual

MR. HEATH VILLERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
129 CORPORATE DR, COVINGTON, LA 70433-1057
(985) 249-6111
(985) 249-6109
Mailing address
129 CORPORATE DR, COVINGTON, LA 70433-1057
(985) 249-6111
(985) 249-6109

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06509
LA
261QP2000X
Physical Therapy Clinic/Center
Primary
06509
LA

Other

Enumeration date
06/09/2023
Last updated
04/22/2026
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