Individual
MELIVA SUICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
11281 OLD HAMMOND HWY, BUILDING A, BATON ROUGE, LA 70816-8404
(225) 275-3177
(225) 275-0922
Mailing address
841 TROUTBECK DR, BATON ROUGE, LA 70810-1993
(225) 275-3177
(225) 275-0922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01081F
LA
Other
Enumeration date
03/24/2006
Last updated
07/16/2008
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