Individual
MARILYN HIERONYMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 HIERONYMUS RD, MERRYVILLE, LA 70653-3623
(337) 794-1139
Mailing address
226 HIERONYMUS RD, MERRYVILLE, LA 70653-3623
(337) 794-1139
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10023
LA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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