Individual
MRS. ELIZABETH BULLER ROESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
301 KNOBCREST DR, LAFAYETTE, LA 70507-3127
(337) 896-7523
(337) 896-7523
Mailing address
301 KNOBCREST DR, LAFAYETTE, LA 70507-3127
(337) 896-7523
(337) 896-7523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10716
LA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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