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Individual

MR. DONALD ALLEN TUMBLESTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LOTR

Contact information

Practice address
14394 S LAKESHORE DR, COVINGTON, LA 70435-5777
(985) 634-5608
(985) 892-4724
Mailing address
14394 S LAKESHORE DR, COVINGTON, LA 70435-5777
(985) 634-5608
(985) 892-4724

Taxonomy

Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary
OTT.Z12499
LA

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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