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Individual

MRS. MARY BETH CAMPAGNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LOT

Contact information

Practice address
1050 S FOSTER DR, BATON ROUGE, LA 70806-7221
(225) 922-5400
Mailing address
15222 OAK SHADOWS AVE, PRAIRIEVILLE, LA 70769-4389
(225) 402-6541

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10675
LA

Other

Enumeration date
05/20/2021
Last updated
05/20/2021
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