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Individual

MARILYN FRANCES KOVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2204 ROBIN AVE, HAMMOND, LA 70403-5751
(985) 542-7878
(985) 542-4396
Mailing address
PO BOX 2965, HAMMOND, LA 70404-2965
(985) 542-7878
(985) 542-4396

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00137
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1194646
CIGNA
LA
05
1677485
LA
01
691869
AETNA
LA
01
721148536KO
HUMANA
LA
Enumeration date
09/01/2006
Last updated
09/24/2012
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