Individual
CHASE MITCHELL WEBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
2727 KALISTE SALOOM RD, SUITE 101, LAFAYETTE, LA 70508-7151
(337) 981-4053
(337) 981-2448
Mailing address
2727 KALISTE SALOOM RD, SUITE 101, LAFAYETTE, LA 70508-7151
(337) 981-4053
(337) 981-2448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00033637
RAILROAD MEDICARE
LA
Enumeration date
06/04/2010
Last updated
01/12/2011
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