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Individual

MRS. MICHELLE SMITH DUCOTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
706 W 28TH AVE, COVINGTON, LA 70433-1466
(985) 898-3329
Mailing address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 250-0837

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT.Z10735
LA
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z10735
LA

Other

Enumeration date
09/02/2022
Last updated
09/02/2022
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