Individual
MRS. HEATHER H. MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15126 HWY 21 SOUTH, BOGALUSA, LA 70427
(985) 732-3549
(985) 732-3543
Mailing address
15126 HWY 21 SOUTH, BOGALUSA, LA 70427
(985) 732-3549
(985) 732-3543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06790
LA
Other
Enumeration date
02/07/2007
Last updated
06/02/2010
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