Individual
DANIELLE BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 FALCONER DR STE D, COVINGTON, LA 70433-8211
(985) 900-2305
(985) 900-2306
Mailing address
67360 HIERN RD, MANDEVILLE, LA 70471-8114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09923
LA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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