Individual
MRS. CAROL BOUDOUSQUIE VALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18137 AUTUMN LEAVES, PRAIRIEVILLE, LA 70769
(225) 247-2472
Mailing address
18137 AUTUMN LEAVES, PRAIRIEVILLE, LA 70769
(225) 622-2748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00345
LA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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