Individual
DENISE L GRAVOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
594 ASBURY DR, STE A, MANDEVILLE, LA 70471-4101
(985) 674-4170
(985) 674-4172
Mailing address
594 ASBURY DR, STE A, MANDEVILLE, LA 70471-4101
(985) 674-4170
(985) 674-4172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 04292
OH
225X00000X
Occupational Therapist
OT 004292
LA
Other
Enumeration date
05/03/2006
Last updated
05/15/2013
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