Individual
OLIVIA GRACE LOWENTRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42530 HIGHWAY 445, PONCHATOULA, LA 70454-5562
(985) 542-6182
Mailing address
42530 HIGHWAY 445, PONCHATOULA, LA 70454-5562
(985) 542-6182
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9419
LA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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