Individual
KRISTY MCCOY GANUCHEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1055 SAINT CHARLES AVE STE 400, NEW ORLEANS, LA 70130-3994
(225) 802-7929
Mailing address
105 SCARLETT LN, MONTZ, LA 70068-8973
(225) 802-7929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200572
LA
Other
Enumeration date
08/07/2012
Last updated
09/04/2024
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