Individual
BERRYL DAWN GOVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 HEYMAN LN, ALEXANDRIA, LA 71303-2905
(318) 229-8254
Mailing address
1106 HEYMAN LN, ALEXANDRIA, LA 71303-2905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03007F
LA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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