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Individual

MR. PAUL ANDRE LE GARDEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LOTR, CHT

Contact information

Practice address
15813 PAUL VEGA DR, SUITE 100, HAMMOND, LA 70403-1426
(985) 230-2663
(985) 230-2665
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-2663

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
200053
LA
225XH1200X
Hand Occupational Therapist
Primary
200053
LA

Other

Enumeration date
03/02/2010
Last updated
12/23/2022
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