Individual
MADISUN TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14443 PERKINS RD, BATON ROUGE, LA 70810-3448
(225) 443-1200
Mailing address
6803 KODIAK DR, BATON ROUGE, LA 70810-1156
(479) 280-0131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
324617
LA
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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