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Individual

CAMERON PIERCE LORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
DELTA HEALTHCARE PROVIDERS 3100 OLYMPUS BLVD, SUITE 500, DALLAS, TX 75019
(985) 320-5334
Mailing address
9327 WORTHINGTON LAKE AVE, BATON ROUGE, LA 70810-2729
(985) 320-5334

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10917
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0731144
FSBPT NUMBER
LA
Enumeration date
05/20/2022
Last updated
05/20/2022
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