Individual
DONNA GERVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 OLD STERLINGTON RD, MONROE, LA 71203-2613
(305) 834-5605
Mailing address
3301 OLD STERLINGTON RD, MONROE, LA 71203-2613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A09412R
LA
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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