Individual
MRS. SAMANTHA KENZIE BEQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT, ITAT
Contact information
Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(985) 592-6436
Mailing address
13165 E COLES CREEK LOOP, HAMMOND, LA 70403-2188
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
303844
LA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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