Individual
SELENA SPICER COURVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
333 LEE DR STE D, BATON ROUGE, LA 70808-4980
(225) 490-3424
Mailing address
333 LEE DR STE D, BATON ROUGE, LA 70808-4980
(225) 490-3424
(225) 490-3422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12135
LA
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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