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Individual

MRS. ZELISSA RAYCHEL JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
301 W FERTITTA BLVD, LEESVILLE, LA 71446-4666
(337) 238-9931
(337) 239-0066
Mailing address
301 W FERTITTA BLVD, LEESVILLE, LA 71446-4666
(337) 238-9931
(337) 239-0066

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200101
LA

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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