Individual
DR. DERRICK HOTARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4845 MAIN ST, ZACHARY, LA 70791-3943
(225) 286-0181
Mailing address
4135 BERTHELOT ST, ADDIS, LA 70710-2648
(225) 252-4720
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10689
LA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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