Individual
MONICA COONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1500 LOBDELL AVE STE A, BATON ROUGE, LA 70806
(985) 966-5961
Mailing address
1500 LOBDELL AVE STE A, BATON ROUGE, LA 70806-8280
(985) 966-5961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08694
STATE LICENSE
LA
05
—
2461737
—
LA
Enumeration date
06/22/2015
Last updated
10/23/2019
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