Individual
HEAVEN CUNANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PEDIATRIC THERAPY PARTNERS, 4350 VIKING DRIVE, STE. 1, BOSSIER CITY, LA 71111
(131) 829-4913
Mailing address
PEDIATRIC THERAPY PARTNERS, 4350 VIKING DRIVE, STE. 1, BOSSIER CITY, LA 71111
(131) 829-4913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8757
LA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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