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Individual

DR. CELESTE JUSTINA DOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT, MD

Contact information

Practice address
1430 TULANE AVE, SL-50, NEW ORLEANS, LA 70112-2632
(504) 988-7809
(504) 988-3971
Mailing address
1430 TULANE AVE, SL-50, NEW ORLEANS, LA 70112-2632
(504) 988-7809
(504) 988-3971

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
DR.0063879
CO
2084N0400X
Neurology Physician
Primary
DR.0063879
CO
225100000X
Physical Therapist
PT 07500R
LA
225100000X
Physical Therapist
PT 33313
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT 07500R
LA BOARD OF PT
LA
01
PT 33313
CA BOARD OF PT
CA
Enumeration date
03/09/2007
Last updated
06/26/2020
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