Individual
DONNA BOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2901 RIDGELAKE DR, SUITE 209, METAIRIE, LA 70002-4966
(504) 309-0868
(504) 309-0867
Mailing address
2901 RIDGELAKE DR, SUITE 209, METAIRIE, LA 70002-4966
(504) 309-0868
(504) 309-0867
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00732
LA
Other
Enumeration date
08/06/2012
Last updated
07/05/2013
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