Individual
DUSTIN ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3939 HOUMA BLVD, STE 17, METAIRIE, LA 70006-2931
(504) 885-9121
Mailing address
1325 3RD ST, LUTCHER, LA 70071-5517
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
09062R
LA
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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