Individual
BRITTANY BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
Mailing address
1054 CANAL BLVD, THIBODAUX, LA 70301-4544
(985) 665-7575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200787
LA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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