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Individual

STEVEN JOSEPH MISTRETTA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759
Mailing address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
(985) 876-0759

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09303R
LA
225100000X
Physical Therapist
PTH6557
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09303R
STATE LICENSE
LA
Enumeration date
02/08/2013
Last updated
07/21/2022
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