Individual
CULLEN BUISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4207
(337) 234-7018
Mailing address
709 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200336
LA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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