Individual
MS. SUSAN M CARLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1130 COOLIDGE BLVD, LAFAYETTE, LA 70503-2619
(337) 261-9188
(337) 261-9523
Mailing address
103 PONDEROSA DR, LAFAYETTE, LA 70508-7989
(337) 962-4814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11263
LA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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