Individual
MEGAN HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
800 GALLOWAY DR, HAMMOND, LA 70402-0001
(985) 549-5401
Mailing address
44658 EASTERN HEIGHTS DR, APT A, HAMMOND, LA 70403-7012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200382
LA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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