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Individual

BRIGETTE V MCGOEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
2901 RIDGELAKE DR STE 209, METAIRIE, LA 70002-4934
(504) 309-0868
(504) 309-0867
Mailing address
2901 RIDGELAKE DR STE 209, METAIRIE, LA 70002-4934
(504) 309-0868
(504) 309-0867

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11973
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTT.Z11973
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
01/17/2017
Last updated
01/17/2017
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