Individual
REY DUAZO DIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 RUE KATHERINE, OPELOUSAS, LA 70570-8991
(337) 459-4328
Mailing address
192 RUE KATHERINE, OPELOUSAS, LA 70570-8991
(337) 459-4328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06779F
LA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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