Individual
CARLY ELIZABETH EBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
19105 SANDY LN, COVINGTON, LA 70433-8715
(985) 792-7700
Mailing address
19105 SANDY LN, COVINGTON, LA 70433-8715
(985) 792-7700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324573
LA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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