Individual
CHERRY AQUINO-DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 850-2354
(985) 850-2355
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02595F
LA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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