Individual
MICHELLE RENEE PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
932 W TOM STOKES CT, BATON ROUGE, LA 70810-3179
(225) 278-1968
Mailing address
932 W TOM STOKES CT, BATON ROUGE, LA 70810-3179
(225) 278-1968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200252
LA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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