Individual
MRS. CHRISTINE MILLER CEDOTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11109 HWY. 308, LAROSE, LA 70373
(985) 693-7272
Mailing address
PO BOX 668, LAROSE, LA 70373-0668
(985) 856-1211
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
00120R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068373
—
LA
Enumeration date
04/10/2007
Last updated
07/09/2007
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