Individual
MS. MIRJAM NICOLE MAASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5627 BANKERS AVE., BATON ROUGE, LA 70808
(225) 927-3000
(225) 927-4183
Mailing address
5627 BANKERS AVE., BATON ROUGE, LA 70808
(225) 927-3000
(225) 927-4183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01436F
LA
Other
Enumeration date
04/24/2006
Last updated
07/29/2009
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