Individual
MRS. ASHLEY FABRE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3529 WESTERVELT AVE, BATON ROUGE, LA 70820-5057
(225) 756-0799
Mailing address
3529 WESTERVELT AVE, BATON ROUGE, LA 70820-5057
(225) 756-0799
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
04522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314935
—
LA
Enumeration date
03/14/2007
Last updated
07/08/2007
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