Individual
DEBRA MATHEWS BEAUBOUEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
50 PINECREST DR, PINEVILLE, LA 71360-4283
(318) 640-9656
Mailing address
50 PINECREST DR, PINEVILLE, LA 71360-4283
(318) 640-9656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z12503
LA
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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