Individual
ANNE DETWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 MILITARY HWY, PINEVILLE, LA 71360-4337
(318) 704-5304
(318) 704-5821
Mailing address
5307 SHORELINE DR, NEW IBERIA, LA 70563-3335
(337) 519-1961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
311409
LA
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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