Individual
MRS. TAWANA R CARMOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
135 WOODWIND LN, PINEVILLE, LA 71360-7748
(318) 484-2023
(318) 484-2023
Mailing address
135 WOODWIND LN, PINEVILLE, LA 71360-7748
(318) 484-2023
(318) 484-2023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11404
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474754
—
LA
Enumeration date
02/11/2008
Last updated
02/11/2008
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