Individual
LEAH DOMANGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7408 HIGHWAY 1, MANSURA, LA 71350-4204
(318) 964-2198
Mailing address
3598 HIGHWAY 452 APT 5, MARKSVILLE, LA 71351-3581
(985) 519-7399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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