Individual
BLAIR DUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7843 PARK AVE, HOUMA, LA 70364-3112
(988) 876-5322
Mailing address
7843 PARK AVE, HOUMA, LA 70364-3112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07254
LA
Other
Enumeration date
09/18/2013
Last updated
06/10/2020
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