Individual
MISS HALEY MONETTE DESHOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1605 7TH ST, MAMOU, LA 70554-2221
(337) 468-4685
(337) 468-4699
Mailing address
PO BOX 929, PINE PRAIRIE, LA 70576-0929
(337) 523-0178
(337) 468-4699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12231
LA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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