Individual
MRS. ANDREA MARY PERCLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
414 RENWICK BLVD, BERWICK, LA 70342-3210
(985) 380-3199
Mailing address
414 RENWICK BLVD, BERWICK, LA 70342-3210
(985) 380-3199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04931
LA
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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