Individual
LAURIE ANN CALLABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
928 TERRY LN, LAKE CHARLES, LA 70605-2650
(337) 475-0150
Mailing address
928 TERRY LN, LAKE CHARLES, LA 70605-2650
(337) 475-0150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4405
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068683
—
LA
Enumeration date
01/02/2006
Last updated
07/08/2007
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