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Individual

MRS. NATALIE R HENNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1612 CHANTILLY DR, HOUMA, LA 70360-7129
(504) 234-0974
Mailing address
1612 CHANTILLY DR, HOUMA, LA 70360-7129
(504) 234-0974

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
04211
LA
2251P0200X
Pediatric Physical Therapist
Primary
04211
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1305421
LA
05
2343602
LA
Enumeration date
03/07/2007
Last updated
10/01/2013
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