Individual
HEATHER RAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
BEN WEINER DRIVE, JAMES W. WILSON JR. CENTER, NEW ORLEANS, LA 70118
(813) 390-0852
Mailing address
BEN WEINER DRIVE, JAMES W. WILSON JR. CENTER, NEW ORLEANS, LA 70118
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ATH.200508
LA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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