Individual
MRS. FRANCES RAE EMILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
4080 NELSON RD STE 400, LAKE CHARLES, LA 70605-2439
(337) 497-0434
Mailing address
4080 NELSON RD STE 400, LAKE CHARLES, LA 70605-2439
(337) 497-0434
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2509R
LA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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