Individual
KRISTIN BUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CBIS
Contact information
Practice address
614 W 18TH AVE, COVINGTON, LA 70433-3063
(985) 875-3100
Mailing address
132 MISTY CREEK DR, LACOMBE, LA 70445-6262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
330153
LA
Other
Enumeration date
07/18/2024
Last updated
07/25/2024
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