Individual
MRS. MAISIE HARGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
327 IBERIA ST, YOUNGSVILLE, LA 70592-5738
(337) 856-1717
(337) 856-1818
Mailing address
2115 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 981-9182
(337) 988-3441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LAPT07063
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAPT07063
PHYSICAL THERAPY LICENSE
LA
Enumeration date
11/06/2006
Last updated
03/25/2011
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