Individual
MS. KIMBERLY IRENE VAUSSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4080 NELSON RD STE 500, LAKE CHARLES, LA 70605-2440
(337) 494-7546
(337) 494-7548
Mailing address
4080 NELSON RD STE 500, LAKE CHARLES, LA 70605-2440
(337) 494-7546
(337) 494-7548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08512
LA
Other
Enumeration date
02/13/2013
Last updated
11/17/2017
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