Individual
BRENT WILLIAM NORMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6321 BOUTALL ST, METAIRIE, LA 70003-3546
(504) 421-4399
Mailing address
6321 BOUTALL ST, METAIRIE, LA 70003-3546
(504) 421-4399
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3343
LA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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