Individual
WEDNESDAY BERTHIAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
269 LAKE MECHANT CT, HOUMA, LA 70360-8328
(985) 232-5505
(985) 851-5828
Mailing address
269 LAKE MECHANT CT, HOUMA, LA 70360-8328
(985) 232-5505
(985) 851-5828
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12478
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473901
—
LA
Enumeration date
03/13/2007
Last updated
07/08/2007
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