Individual
MS. CHANCIE MORACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
340 FALCONER DR, COVINGTON, LA 70433-8204
(985) 893-2845
(985) 893-2654
Mailing address
340 FALCONER DR, COVINGTON, LA 70433-8204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06672
LA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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